Insurance Claims Coordinator jobs in Asheville, NC

Introduction

Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Insurance and Claims Specialist (Program of All Inclusive Care for the Elderly) Program opening with CarePartners today and find out what it truly means to be a part of the HCA Healthcare team.

Benefits

CarePartners, 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

Note: Eligibility for benefits may vary by location.

We are seeking Insurance and Claims Specialist PACE Program, for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!

Job Summary and Qualifications

Summary:

Under general supervision, oversees coordination and analysis of payable claims to outside vendors for services provided to plan participants. This position is responsible for ensuring timely and accurate processing and payment of claims by the Third-Party Administrator through competent review of claims adjudication compared to network contracts and current government assigned rates and assists in resolving discrepancies in the claim-authorization process. Maintains internal and external spreadsheets of government payer and participant payments and receivables, and aids the Finance Manager through back office support required for appropriate data and financial reporting. Also works with contracted, new, and potential network vendors regarding claims processing and payment concerns and appeals as necessary to facilitate the accounts payable process within the plan. Provides financial information data and support required for decision making and process improvement functions of the PACE Leadership Team.

What qualifications you will need:

Required Education: Associates Degree. 3 years of directly related work experience in insurance follow-up, billing or collections will be considered in lieu of a degree

Preferred Education: Bachelor’s Degree

Required Experience: Minimum of 3 years of directly related work experience in insurance follow-up, billing or collections in a hospital, collection agency or physician office setting. Demonstrated analytical skills required. Experience with Microsoft Word, Excel and Outlook required.

Preferred Experience: Five years working experience in healthcare or health insurance related field

• Bachelors Degree

CarePartners Health Services is a healthcare organization serving western North Carolina and offering a full continuum of post-acute care. Located in Asheville, North Carolina, CarePartners provides compassionate post-acute care, including rehabilitation, home health, adult care, hospice and palliative care. CarePartners also offers a full acute care rehabilitation hospital. With more than 1,200 colleagues and 400 volunteers, CarePartners Health Services is dedicated to helping people of western North Carolina live full and productive lives, despite illness, injury, disability or issues related to aging. CarePartners Health Services is a member of Mission Health, an operating division of HCA Healthcare.

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.

"Across HCA Healthcare’s more than 2,000 sites of care, our nurses and colleagues have a positive impact on patients, communities and healthcare.
Together, we uplift and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN
Senior Vice President and Chief Nursing Executive

If you find this opportunity compelling, we encourage you to apply for our Health Plan Enrollment Specialist PACE Program opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing apply today!

We are an equal opportunity employer and 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.