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Description

Introduction

Do you want to join an organization that invests in you as a(an) Billing Specialist? At MSO - Comprehensive OB/GYN, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

MSO - Comprehensive OB/GYN, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

+ Free counseling services and resources for emotional, physical and financial wellbeing

+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock

+ Family support through fertility and family building benefits with Progyny and adoption assistance.

+ Referral services for child, elder and pet care, home and auto repair, event planning and more

+ Consumer discounts through Abenity and Consumer Discounts

+ Retirement readiness, rollover assistance services and preferred banking partnerships

+ Education assistance (tuition, student loan, certification support, dependent scholarships)

+ Colleague recognition program

+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

_Note: Eligibility for benefits may vary by location._

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Billing Specialist like you to be a part of our team.

Job Summary and Qualifications

Billing Specialist

PHY GENERAL SUMMARY OF DUTIES: Processes claims electronically to insurance carriers. Mails claims to carriers when required. Works all billing vendor edits including daily unbilled reports. Responsible for posting correct late charges to accounts. Communicates any charge related issues to Charge Master Manager/Analyst.

SUPERVISOR: Practice Manager/Billing Manager

DUTIES INCLUDE BUT NOT LIMITED TO:

Works all identified insurance requirement edits through the electronic billing system.

Communicates issues with department manager.

Researches required information and maintains pending follow up on a daily/weekly basis.

This applies to all non-transmitted pending claims.

Communicates daily information needed for billing to the Billing/Practice Manager via action notes and e-mail.

Daily transmits all electronic claims to the billing vendor to be sent directly to the insurance carriers.

Daily works electronic insurance rejects in order to retransmit with corrected insurance information.

Daily works re-bills submitted to the billing department through the electronic billing system.

Daily/weekly verifies that all electronic acknowledgements were received by the insurance carriers.

Daily submits required paper billing to insurance carriers.

Attach I-bills, implant invoices to paper billing when required.

Maintain daily follow up with the facility late charge reports.

Late charges to be reviewed based on specific insurance payor requirements.

Submit adjustment requests to Medicaid through online automated system.

Work the unbilled alert and comp census reports daily.

Work the Medicare 72 hour and Medicaid 24 hour reports to identify Compliance overlapping accounts.  Transfer charges when appropriate.

Work all related Medicare APC edits that appear on the bill alert reports and communicate with facility departments in order to resolve.

Work the lab compliance related edits and communicates issues with facility lab directors.  Enter notes in the collection system of action taken.

Record daily productivity on excel spreadsheet.

Practice and adhere to the “Code of Conduct” philosophy.

Attend all required billing education classes.  Other duties as assigned.

EDUCATION:

No Education Requirements

EXPERIENCE:

Must demonstrate a high degree of interpersonal skill with co-workers, physicians and patients

Familiar with third party billing requirements and payment policies.

One to two years billing in the health care field is required.

CERTIFICATION/LICENSE:

No license Requirements

KNOWLEDGE, SKILLS AND ABILITIES:

Communication – communicates clearly and concisely, verbally and in writing.

Customer orientation – establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.

Interpersonal skills – able to work effectively with other employees, patients and external parties. Last

PC skills – demonstrates proficiency in PC applications as required.

Policies and Procedures – demonstrates knowledge and understanding of organizational policies, procedures and systems.

Basic skills – able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.

Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times.  In recent years, HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Billing Specialist opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.