1-3 years of experience
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Employment Type:
Full time
Job Category:
Billing Specialist
(This job is no longer available)
HCA | Hollywood, FL
Grad Date

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Job Description

HCA has been recognized as a World's Most Admired Company in the Health Care Medical Facilities Industry by Fortune Magazine. The Ambulatory Surgery Division of HCA operates and jointly owns with physicians 130 surgery centers across the United States. Our cases are performed Monday-Friday which means NO nights, NO weekends, or On-call will 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: Processes claims electronically to insurance carriers. Mails claims to carriers when required; works all billing vendor edits; responsible for posting correct late charges to accounts. Communicates any charge related issues to the Business Office Manager.


* Works all identified insurance requirement edits through AdvantX.
* Reviews the insurance contract profiles in AdvantX to ensure the system is making appropriate adjustments based on the procedure and type of reimbursement.
* Works with electronic billing vendor to resolve any e-billing issues, denied claims, etc.
* Generates and processes all insurance claims.
* Responds to billing questions received from patients.
* Researches required information and maintains pending follow-up on a daily/weekly basis.
* Communicates daily information needed for billing.
* Transmits all claims to be sent directly to the insurance carriers daily.
* Practices and adheres to the "Code of Conduct" philosophy.
* Attends all required billing education classes.
* Other duties as assigned.

"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."


* Organization - Proactively prioritizes needs and effectively manages resources and time.
* Communication - Communicates clearly, concisely, and professionally.
* Analytical Skills - Demonstrates ability to critically evaluate and appropriately act upon information.
* Customer Orientation -Maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
* Decision Making - Identifies issues, problems, and opportunities; compares data from different sources to draw conclusions; uses effective approaches for choosing a course of action or develops appropriate solutions; takes action that is consistent with available facts, constraints, and probable consequences.
* Contributing to Team Success - Actively participates as a member of the Center's team to move the team toward the completion of goals.
* Policies & Procedures - Articulates knowledge and understanding of organizational policies, procedures, and systems.
* 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.
* Technical Skills -
* Knowledge of surgical procedures/medical terminology.
* Knowledge of insurance companies and insurance plans, contracts, and co-pays.
* Demonstrates an understanding of the facility policy regarding payment arrangements and upfront collections.


* N/A


* At least one year billing experience required.


* Basic Life Support (BLS) may be required as per facility standard.

About HCA

HCA owns and operates approximately 179 hospitals and approximately 104 freestanding surgery centers in 21 states, England and Switzerland. We are dedicated to providing healthcare services that meet each community's local healthcare needs. We seek to integrate various services to deliver patient care with maximum quality and efficiency. Our approach includes focusing on quality; streamlining operations; sharing technology, equipment and personnel where appropriate; and using economies of scale when contracting for medical supplies and administrative services.