About Company
HCA Healthcare is one of the nation’s leading providers of healthcare services, comprising 180 hospitals and approximately 2,300 ambulatory sites of care, including surgery centers, freestanding ERs, urgent care centers, and physician clinics, in 20 states and the United Kingdom. Driven by a commitment to the care and improvement of human life, HCA Healthcare delivers high-quality patient care, engages in groundbreaking clinical research, and invests in the communities it serves. We are dedicated to the highest standards of ethics, integrity, and patient safety, fostering a collaborative environment where every team member contributes to our mission.
Job Description
We are actively seeking a highly motivated and detail-oriented Claims Processor to join our dynamic team in Anchorage, Alaska. This is an immediate hiring opportunity for an individual ready to contribute significantly to our revenue cycle management and ensure the timely and accurate processing of medical claims. The Claims Processor plays a critical role in the financial health of our healthcare facilities, impacting patient satisfaction and operational efficiency. In this fast-paced environment, you will be responsible for reviewing, verifying, and submitting claims to various insurance payers, ensuring compliance with all regulatory guidelines and internal policies. This position requires a keen eye for detail, strong organizational skills, and a commitment to maintaining the highest standards of accuracy and confidentiality. If you are passionate about healthcare administration and possess the skills to navigate complex billing systems, HCA Healthcare offers a rewarding career path with ample opportunities for professional growth and development. Join us in our mission to provide exceptional care and improve lives across the communities we serve.
Key Responsibilities
- Review, verify, and accurately process a high volume of medical claims for various healthcare services and procedures.
- Ensure all claims are submitted in compliance with payer-specific requirements, established guidelines, and federal/state regulations (e.g., HIPAA).
- Identify and resolve discrepancies, denials, or rejections promptly and efficiently, collaborating with relevant departments as needed.
- Utilize medical coding knowledge (CPT, ICD-10, HCPCS) to ensure correct codes are applied to claims for optimal reimbursement.
- Communicate effectively with insurance companies, patients, and healthcare providers to gather necessary information and clarify billing inquiries.
- Maintain meticulous records of all claims submitted, denials, appeals, and resolutions within the designated claims management system.
- Stay updated on changes in insurance policies, coding guidelines, and regulatory requirements affecting claims processing.
Required Skills
- Minimum of 2 years of experience in medical claims processing or medical billing.
- Proficiency in medical terminology, CPT, ICD-10, and HCPCS coding.
- Strong understanding of various insurance plans, including commercial, Medicare, Medicaid, and managed care.
- Exceptional attention to detail and accuracy in data entry and claim review.
- Excellent organizational and time management skills with the ability to manage multiple priorities.
- Demonstrated ability to work independently and as part of a team.
- Proficiency with healthcare information systems and claims management software.
- Strong verbal and written communication skills.
Preferred Qualifications
- Associate’s degree in Healthcare Administration, Business, or a related field.
- Certification in Medical Billing and Coding (e.g., CPC, CCS-P, CPB).
- Experience with HCA Healthcare's specific claims processing systems or similar large-scale healthcare platforms.
Perks & Benefits
- Comprehensive health, dental, and vision insurance plans.
- Paid time off (PTO) and company-paid holidays.
- 401(k) with company match and employee stock purchase plan.
- Tuition reimbursement and professional development opportunities.
- Life insurance and disability coverage.
- Wellness programs and employee assistance programs.
- Opportunities for career advancement within a large, nationwide healthcare system.
How to Apply
Interested candidates are encouraged to apply directly through our careers portal by clicking the link below. Please ensure your resume highlights your relevant experience in medical claims processing and billing.