HCA Management Services, LP
West Jacksonville, FL, United States
HCA has been recognized as a/World’s Most Admired Company/in the Health Care Medical Facilities Industry byFortune Magazine.The Ambulatory Surgery Division of HCAoperates and jointly owns with physicians 130 surgery centers across the United States. Our cases are performed Monday-Friday which meansNO nights, NO weekends, or On-callwill be required.**The size of our surgery centers naturally creates a culture where everyone knows one another with a shared focus on providing the best possible experience for those that we serve. We are currently in search of additional members to join our team! __
A few of the benefits we provide you:
* Tuition Reimbursement and Student Loan Repayment Program
* Full Medical, Dental, Life, Disability and Vision Insurance
* 401k (3%-9% match based on tenure)
* New Extended Family Leave and PTO
* Employee Stock Purchase Plan
* Healthcare and Dependent Care Flexible Spending Accounts
* Employee Discount Program
GENERAL SUMMARY OF DUTIES:Contributes to the company completing the follow-up and collection from third party payers and self pay accounts to enhance cash flow and obtain associated reimbursement based on established contracts.
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
Performs follow up activities on all accounts to ensure prompt payment.
Maintains daily queue on desktop.
Identifies and corrects any coding or billing problems from EOBs.
Monitors insurance claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid in a timely manner.
Prepares accounts for rebilling and for filing secondary insurance; sends to carrier with necessary documents, as needed.
Completes filing and follow-up on insurance denials with coder and physicians to obtain reimbursement.
Handles patient and insurance inquiries.
Updates the patient account record to identify actions taken on the account.
Updates AdvantX using daypack and re-files claims, as required.
Assigns Bad Debt accounts to Collection Agency as approved by BOM.
Acts as a liaison in collection of third party accounts, as required per Center practices.
Completes the reconciliation of accounts that are turned over to outside agencies.
Administers Center contracts with third party payers including Medicare and Medicaid, in accordance with facility practices, as determined through facility processes.
Notifies BOM/Administrator of contractual issues that are contrary or inconsistent with contract language.
Negotiates payment plans on self pay accounts utilizing established policies regarding Settlement Discounts.
Completes weekly reporting to BOM and Administrator involving collections.
Responsible for achieving and maintaining accounts receivable days.
Responsible for the reduction and maintenance of bad debt.
Performs reviews and turnovers of aged accounts to an outside collection agency for 1st placements and bad debt.
Follows Best Practices regarding initial follow-up at 21- 28 days for insurance claims and subsequent follow-up every 14-21 days.
Attends required meetings and participates in committees.
Provides business office and admissions back up as needed.
KNOWLEDGE, SKILLS & ABILITIES:
PC Skills – Demonstrates proficiency in Microsoft Office (Excel, Word, and Outlook) applications; knowledge of, or ability to learn, AdvantX – Accounts Receivable System, Smart, HOST and other systems as required. Demonstrates ability to type on PC keyboard.
Knowledge of commercial, Medicare, Medicaid, HMO/PPO, Tricare insurance operating procedures and contracts, and basic medical terminology.
Minimum (1) year of experience in a medical office setting (i.e. ambulatory surgery center, hospital, doctors office) highly preferred.
Knowledge of managed care payers and medical terminology (preferred).
Basic Life Support (BLS) may be required as per facility standard.
“We are an equal opportunity employer and we value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.”
Job: *Admitting Registration Clerical & Scheduling
Title: Medical Collections Specialist
Location: Florida-Jacksonville-Jacksonville CBO
Requisition ID: 03300-2232
HCA Management Services, LP
Website : http://hcahealthcare.com
At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Milton Johnson serves as Chairman and Chief Executive Officer of HCA. HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities. And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.