Medical Insurance Claims Specialist
Posted 1 day ago
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**Introduction**
Do you want to join an organization that invests in you as a Medical Insurance Claims Specialist? At Parallon, 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**
Parallon, 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 ( 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 Medical Insurance Claims Specialist like you to be a part of our team.
**Job Summary and Qualifications**
As an **Insurance Follow up Representative** , you will be responsible for processing insurance accounts to address claim issues and thereby affect payment and/or bringing them to resolution.
**What you will do in this role:**
+ Status account and document all work performed in the company and client computer systems.
+ Assess accounts to determine the next appropriate course of action in line with company policies and procedures.
+ Place outbound calls to insurance companies, guarantors, patients, doctors' offices and/or facilities and handle incoming calls as necessary utilizing proper customer service protocol.
+ Process related correspondence from insurance companies and perform pertinent follow-up.
+ Reconcile balances and payments between insurance companies and client's computer systems.
+ Medical and insurance terminology (such as procedure codes, diagnoses, and patient liability), and full understanding of hospital/physician billing.
+ Demonstrated communication and problem-solving skills and the ability to act/decide accordingly.
+ Ability to collect, create and research complex or diverse information.
+ Exceptional customer service and the ability to plan, organize and exercise sound judgment.
**Qualifications you will need:**
+ Minimum 1-2 years' experience in Medical Insurance Claims Follow-up for a facility, medical clinic, or doctor's office and experience with Microsoft Office suite and standard office equipment (efax application) preferred.
+ Experience with Adobe documents
+ Work from home roles require employees must have wired high speed internet 25 MB download and 15 MB upload.
+ Remote employees are required to live within a 60 mile radius of an HCA Hospital
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
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 cost 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 Medical Insurance Claims 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.
Licensed Health Insurance Agent-Temp Position
Posted 8 days ago
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Job Description
**Location: Remote**
**Terms: Full-time**
**Pay: $18-20/hr**
**Join Team Alorica**
At Alorica, we're redefining what it means to be a global leader in customer service and experience one interaction at a time. With Alorica-at-home and locations in 18 countries around the world, we offer endless career opportunities from customer service, training, and tech support, to management, recruiting, and more. And we're proud to say over 70% of our leaders are promoted from within!
But that's not all.we also provide a full range of benefits to help our employees achieve financial, emotional, mental, and physical well-being including supporting their own communities through Making Lives Better with Alorica (MLBA). MLBA is our award-winning, in-house non-profit charity that's focused on empowering people through mission-focused work.
**Job Summary**
As part of Team Alorica, you'll help our clients by addressing their customers' concerns, providing support, and resolving issues.
**Responsibilities**
+ Assist customers with issues and concerns they are experiencing during the use of the product and/or service
+ Document call-related information for auditing and reporting purposes
+ Maintain and update customer information as necessary
+ Upsell current customers on new or enhanced services
**Qualifications**
+ High school diploma or GED
+ Customer service experience is a plus
+ Strong computer navigational skills
+ Familiarity with Microsoft Office applications (Word, Excel)
+ Excellent oral and written communication skills
+ Exceptional listening/comprehension skills
+ Professional and courteous
+ Customer oriented
**Work Environment**
+ Ongoing usage of phone and computer systems
+ Your Work At Home environment must be in a private residence, located at the address listed on your personnel file.
+ Alorica will provide the equipment you need to conduct your work which may include a webcam.
+ You will need to provide an Internet/Broadband Internet Connection - DSL or Cable only. No Satellite, Dial-up or Wireless Internet connections.
+ Your workstation must be connected directly to the Internet with proof that your ISP meets a minimum download speed of 10 Mbps and minimum upload speed of 3 Mbps.
**Physical Demands**
+ Constant sedentary work
**Benefits**
+ Health, dental, and vision coverage/HSA
+ Optional daily pay or weekly pay
+ 401K retirement plan
+ Leadership programs
+ Paid training and tuition reimbursement
+ Employee discounts program including but not limited to groceries, travel, insurance, phone plans, health and wellness, and pet supplies
+ Employee assistance program
+ Additional voluntary benefits
**Next Steps**
1. Place an application
2. Complete your online assessment
3. Our team will review your application
4. If selected to move forward, our team will follow up directly
DISCLAIMER: The above information on this description has been designed to indicate the general nature and level of work performed by employees in this classification.
We are only considering candidates and hiring for this position in the following states: Alabama, Arkansas, Florida, Georgia, Idaho, Iowa, Kansas, Louisiana, Maryland, Michigan, Mississippi, Missouri, Nebraska, New Jersey, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Utah, Virginia and West Virginia.
Alorica is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.
Medical Billing and Insurance Coding Instructor
Posted 6 days ago
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Job DetailsJob LocationTexas Houston UEI Institute - Houston, TXJob CategoryInstructors & EducationDescriptionWe're Looking For: Someone with tenacity, passion, discipline and grit to join our team as aMedical Billing and Insurance Coding Instructor at our new campus in Houston, TX.To Do What: In this position, you will be responsible for the delivery of quality educational instruction by helping develop the technical and soft skills needed for our students to secure a job in their new career.Who Are We: United Education Instituteis a leader in post-secondary career education and we are obsessed with student success. Our company is fast-growing and has opportunity for growth and advancement.What We Offer: We are a Certified Employee-Owned Company and offer a variety of benefits for full-time and part-time colleagues including a generously matched 401(k) plan!Some of the great work you'll do includes:Supporting students through their education journey and witness their dreams become realityHelping students achievetheir educational goalsQualifications***Teaching experience is not required. We will train***You must have licensure or certification in your field, as required by the StateThirty-six months combined related industry experience
Health Insurance Counselor I (Longview/Texarkana, TX)
Posted 4 days ago
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Job Description
Posting Date
08/05/2025 2800 N Loop WestSte 800,Houston,Texas,77092-8838,United States of AmericaThis vital, patient-centered role provides education and guidance to DaVita patients about health insurance and the implications of different insurance options. This position helps patients understand their insurance options and make informed employment and insurance decisions. The Insurance Counselor will help alleviate the stress that dialysis patients often experience in navigating complicated insurance options and employment decisions while also managing their health care needs.
To be successful, the Insurance Counselor must have a passion for customer service and the ability to build trust and rapport with patients and teammates. Teammates in this role will gain expertise in motivational interviewing as well as expert knowledge of commercial and government health insurance benefits, financial assistance programs, and work leave options.
This role requires travel to our DaVita clinics in Longview/Texarkana to provide education and guidance to DaVita patients about health insurance and the implications of different insurance options.
Travel and in-person patient support is required and may be up to 50% with variability amongst markets based on patient need.
Candidate must reside in Longview/Texarkana, TX, or the surrounding area.
Candidate must be able to squat and walk and stand for more than 15 minutes and must be okay with the sight of blood.
Valid driver's license- Insurance Counselors will drive their personal automobiles to get from one clinic to another. A valid driver's license within the state you are applying is required, with an acceptable driving record
ESSENTIAL DUTIES & RESPONSIBILITIES:
The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive. The scope of the Insurance Counselor is primarily supporting patients who have existing commercial insurance coverage or who are uninsured.
- Conducts patient insurance education while operating within established compliance parameters of the company
- Identifies and effectively communicates opportunities to better the insurance status of the patient to help reduce or alleviate financial risk and burden
- Provides information to patients to help them find and/or secure options for insurance coverage and other financial assistance programs as necessary
- Provides a high-level of customer service to patients across multiple DaVita Dialysis facilities to ensure educational needs are met and to ensure patient questions or issues are addressed effectively
- Completes insurance assessments/evaluations for patients to accurately document patient education sessions
- Acts as a liaison between patients, facility teammates, billing office and the corporate office to resolve patient insurance issues and/or concerns
- Builds and maintains relationships with field partners (e.g. Home Program Departments, Facility Administrators, Social Workers, Administrative Assistants etc.) to ensure seamless patient support
- Works closely with supervisor/manager to meet objectives, deadlines, and reporting/measurement requirements as they pertain to patient education.
- Provides monthly reporting and analysis on key metrics related to patient education and advocacy as well as actively participates in monthly operations reviews on assigned patient portfolio
- Seeks to find opportunities for continued process improvement and reviews ideas with team and operational leadership
- Attends team meetings, phone conferences, and trainings as needed; may assist with onboarding and training of new teammates or other duties as assigned
EXPERIENCE, EDUCATION, TRAINING, OR QUALIFICATIONS
- Full vaccination against COVID-19 or a medical/religious exemption is required.
- High School Diploma or equivalent is required
- This role requires basic computer skills, high speed internet (minimum of 40 GB) and a private workspace, and secure transportation to DaVita facilities to perform the duties of the job
- Minimum of two (1) years' experience working with Medicare and Medicaid insurance as well as commercial insurance plans and benefits (PPO, HMO, POS, EPO, Indemnity) strongly preferred
- Minimum of two (1) years' experience in a healthcare organization working with clinical staff and patients preferred
- Intermediate computer skills and proficiency in MS Word, Excel, PowerPoint, and Outlook required Power Point preferred
- Bilingual/Spanish Speaking strongly preferred
What We'll Provide:
More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.
- Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
- Support for you and your family: Family resources, EAP counseling sessions, access Headspace, backup child and elder care, maternity/paternity leave and more
- Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.
#LI-RH1
At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.
This position will be open for a minimum of three days.
The Wage Range for the role is $19.00-$7.00 per hour. If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position. New York Exempt: New York City and Long Island: 64,350.00/year, Nassau, Suffolk, and Westchester counties: 64,350.00/year, Remainder of New York state: 60,405.80/year New York Non-exempt: New York City and Long Island: 16.50/hour, Nassau, Suffolk, and Westchester counties: 16.50/hour, Remainder of New York state: 15.50/hour Washington Exempt: 77,968.80/year Washington Non-exempt: Bellingham: 17.66/hour, Burien: 21.16/hour, Unincorporated King County: 20.29/hour, Renton: 20.90/hour, Seattle: 20.76/hour, Tukwila: 21.10/hour, Remainder of Washington state: 16.66/hourFor location-specific minimum wage details, see the following link: DaVita.jobs/WageRates
Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at
Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.
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