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Description

Introduction

Do you have the career opportunities as a(an) Insurance Eligibility Coordinator you want with your current employer? We have an exciting opportunity for you to join MSO - TCA Houston which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Benefits

MSO - TCA Houston 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._

Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Insurance Eligibility Coordinator where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!

Job Summary and Qualifications

This position is responsible for the coordination of various insurance requirements and is expected to be proactively and retroactively reviewing patient accounts. This individual will be involved in on-going communication and coordinate information to various stakeholders in a timely manner. The Insurance Eligibility Coordinator will work with various patients, insurers, providers, and staff to stay compliant with federal and state insurance guidelines.

DUTIES INCLUDE BUT NOT LIMITED TO:

• Perform pre-registration and insurance verification on all patients

• Contact appropriate parties to resolve issues regarding prior authorizations and necessary referral requirements

• Assign insurance plans accurately

• Communicate with appropriate parties to discuss any insurance criteria

• Verify and utilize online carrier portals and websites to calculate patient cost share and assist patient with payment to appropriate departments

• Coordinate and oversee all Good Faith Estimates and the federally mandated requirements

• Resolve and oversee denied billing issues for various insurance companies

• Assist in answering incoming calls and ensure patient questions are answered and screened appropriately

• Collect co-pays and discusses reasoning for past due balances with patients

• Performs other related job functions as assigned

• Ability to work with co-workers, patients, various stakeholders, and management in a positive supportive, and cooperative manner

• Participates in educational activities and attends monthly staff meetings

• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations

• Performs other related job functions as assigned

EDUCATION

• Associate Degree preferred

EXPERIENCE:

• A minimum of two years of medical office or acute care setting healthcare experience **required**

• A minimum of one year of health insurance related experience **required**

CERTIFICATION/LICENSE:

• None

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.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Insurance Eligibility Coordinator opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock the possibilities and apply today!**

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.