Manager Payer Analysis  in Nashville, Tennessee, United States
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Parallon

Manager Payer Analysis

Nashville, TN, United States
Full-time • No Weekends
Directors and Managers   Job ID: 10251-5067
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Description

SHIFT: No Weekends
SCHEDULE: Full-time


Do you have the career opportunities as a Manager Payer Analysis you want in your current role? We have an exciting opportunity for you to join Parallon, a team that is part of the nation's leading provider of healthcare services, HCA Healthcare.

 

At Parallon, we offer an array of medical, dental, and vision packages as well as several add-on perks to make your benefits package truly customizable to you and your family needs. Some of our unique benefits we offer include:

  • Tuition Reimbursement/Assistance Programs/Student Loan Repayment
  • Paid Personal Leave
  • 401k (100% annual match – 3%-9% of pay based on years of service)
  • Identity Theft Protection discounts
  • Auto, Home, and Life Insurance options
  • Adoption Assistance
  • Employee Stock Purchase Program (ESPP)

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Manager Payer Anlaysis like you to be a part of our team.

 
Job Summary

This Manager position works closely with the Payer Analysis Director to provide financial analysis and operational support for Dispute Resolution functions. Manages the Dispute Resolution operations team and assists with developing and maintaining reporting solutions necessary to support the Dispute Resolution process and Parallon operations, including the development of tools to effectively measure performance.

DUTIES (INCLUDE BUT ARE NOT LIMITED TO):

  • Work directly with the operations side of the Dispute Resolution Team to ensure dispute reviews are being completed timely and correctly.
  • Assign and perform account reviews on specific disputes to ensure the appropriate inventory is being reported by the SSCs and PSU.
  • Provide training to new team members and perform QA on existing team members.
  • Compile and send supporting dispute information to litigation attorneys.
  • Ensure the current statuses of DRT disputes are updated timely and correctly.
  • Manage the denial escalation process (i.e. ensure the current statuses of denial escalation accounts are updated timely and correctly, ensure the technical reviews and expected reimbursement calculations are being completed timely and correctly, etc.).
  • Organization - proactively prioritizes needs and effectively manages resources
  • Communication - communicates clearly and concisely
  • Ownership – takes ownership of assigned responsibilities and follows through on outstanding issues
  • Leadership- guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services
  • Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • PC skills - skilled in Microsoft Office applications and others as required
  • Project management - uses tools and processes to identify and communicate project goals, schedules, responsibilities, progress and performance
  • Teambuilding - demonstrates ability to foster and perform in a team-building environment

 

Qualifications

  • Bachelor’s Degree in Accounting, Finance or related field preferred.
  • Minimum 3-7 years accounting/auditing/healthcare management experience
  • Experience in public accounting and/or healthcare provider financial operations preferred
  • Previous SSC experience preferred

 

Parallon believes that organizations that continuously learn and improve will thrive. That’s why after more than a decade we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry’s leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.

We are a wholly owned subsidiary of HCA Healthcare, a comprehensive healthcare network where over 265,000 people across more than 1,800 care facilities are all committed to creating a positive impact every day. It’s an organization that exists to give people healthier tomorrows. HCA Healthcare has been continually named a World's Most Ethical Company by Ethisphere since 2010. In 2018, HCA Healthcare spent an estimated $3.3 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
 

If you find this opportunity compelling, we encourage you to apply for our Manager Payer Analysis opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are actively interviewing so 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.

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Details

Directors and Managers
Parallon
Full-time • No Weekends

COVID-19 Vaccination

In compliance with the emergency regulation issued by the Centers for Medicare & Medicaid Services (CMS) dated November 4, 2021, and company policy, this role MAY require you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations, or to have applied for a medical or religious exemption (including booster for California). (For further clarification, please ask your recruiter.)

About HCA Healthcare

What matters most to our diverse and talented colleagues is giving people the absolute best healthcare in the most compassionate way possible.

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