Manager Payer Analysis

• 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)

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

• 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.