Claims Resolution Specialist

Job Title

Claims Resolution Specialist – HCA Healthcare (Parallon)

Work from Home – you must reside within 60 miles of an HCA Healthcare Hospital. Eligible states include FL, GA, , KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA.

Parallon is a full‑service revenue cycle management firm that partners with HCA Healthcare to provide comprehensive patient account resolution. We support over 1,000 hospitals and 3,000 physician practices across the country.

• Comprehensive medical coverage with low or no copay for common services, including prescription, behavioral health, telemedicine, and Air Med medical transport.
• Optional dental, vision, life and disability plans, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity). Additional auto, home, identity‑theft protection, legal counseling, long‑term care, moving assistance and pet insurance.
• Free counseling services for emotional, physical and financial wellbeing.
• 401(k) plan with a 100% match of 3% to 9% of pay (based on years of service).
• Employee Stock Purchase Plan with a 10% discount on HCA Healthcare stock.
• Family support through fertility, family‑building benefits and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, and event planning.
• Consumer discounts via Abenity.
• Retirement readiness and rollover assistance services, preferred banking partnerships.
• Education assistance: tuition, student‑loan repayment, certification support, dependent scholarships.
• Colleague recognition program.
• Time Away from Work program with paid leave, paid family leave, long‑ and short‑term disability coverage and leaves of absence.
• Employee Health Assistance Fund offering free coverage for full‑time and part‑time colleagues, based on income.

The Claims Resolution Specialist applies fundamental knowledge of healthcare revenue‑cycle practices to research, analyze and resolve open insurance claims and balances. This role requires regular outreach to payors and coordination with vendors and clearinghouses.

• Conduct follow‑up with payors, vendors and clearinghouses on open insurance claims and balances in accordance with departmental policies.
• Resubmit primary and secondary claims.
• Identify potential claim issues and elevate them to management.
• Review, identify and resolve payor denials.
• Update patient accounts as appropriate.
• Ensure adjustments are posted in a timely and accurate manner for claims requiring modification.
• Resolve claims impacted by payor recoupments and refunds.

• Minimum of 1 year of related healthcare experience (preferred).
• Relevant education may substitute for the experience requirement.

Entry level

Full‑time

Administrative and Health Care Provider

Hospitals and Health Care

Referrals increase your chances of interviewing at HCA Healthcare by 2x.

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.