Claims Resolution Specialist jobs in United States
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HCA Healthcare · 19 hours ago

Claims Resolution Specialist

HCA Healthcare is a leading provider of healthcare services, and they are seeking a Claims Resolution Specialist to join their team. This role involves researching, analyzing, and resolving open insurance claims and balances while conducting outreach to payors and ensuring compliance with departmental policies.

BiotechnologyHealth CareHospitalMedicalPrimary and Urgent Care
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H1B Sponsor Likelynote

Responsibilities

Conduct follow-up with payors, vendors, and clearinghouse on open insurance claims and balances in compliance with departmental policies and procedures
Resubmit primary and secondary claims
Identify potential claim issues and escalate to management
Review, identify, and resolve payor denials
Update patient accounts as appropriate
Ensure adjustments are posted timely and correctly for claims that need to be adjusted
Resolve claims impacted by payor recoupments and refunds

Qualification

Healthcare revenue cycleClaims resolutionInsurance claims processingPatient account managementCommunication skills

Required

Minimum of 1 year related healthcare experience preferred
Relevant education may substitute experience requirement

Benefits

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.

Company

HCA Healthcare

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HCA Healthcare provides medical education and healthcare services in locally managed facilities. It is a sub-organization of North Florida Endoscopy Center.

H1B Sponsorship

HCA Healthcare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2022 (2)
2020 (1)

Funding

Current Stage
Public Company
Total Funding
$8.51B
2025-10-31Post Ipo Debt· $3.25B
2025-02-24Post Ipo Debt· $5.25B
2014-06-25Post Ipo Debt· $3.2M

Leadership Team

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Nicholas Manning
Chief Executive Officer
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Nick Lane
Regional Vice President Human Resources
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Company data provided by crunchbase