Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Appeals Analyst today with Work from Home.
Work from Home, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Note: Eligibility for benefits may vary by location.
Come join our team as a(an) Appeals Analyst. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!
The Clinical Appeals Analyst is responsible to support the Attorney serving in the role of Senior Counsel, Aetna Appeals. This individual will be responsible to confirm claim denials/appeals, place claims into new and existing categories, and follow pre-established escalation and resolution protocols. This position will be critical in supporting the Payer specialization strategy focused on denial cash conversion and ultimately avoidance. Processing large claim volumes efficiently and effectively, with technology, while providing the highest levels of customer service and attention to details is required. Success in this position will be indicated by a high volume of throughput, escalation, and successful underpayment resolution.
Perform and validate claim level denial and appeal inventory
Prepare documentation to support additional payment from payers
Communicate clearly, such as telephonically, online or via payment package processes to both internal and external parties
Overcome objections that prevent payment of the claim
Gain commitment, when required, for payment through concise and factual collection techniques
Communicate trends to management as identified
Identify and communicate trends to management, including those that might be appropriate for the dispute resolution process
Escalate accounts to appropriate individuals at the payer and management as needed, including accounts with lack of timely payer response
Utilize effective documentation standards that support a strong historical record of actions taken on the account.
Bachelor’s Degree required.
HealthTrust Supply Chain is a critical part of HCA Healthcare’s strategy. Our focus is to improve performance and reduce costs. We do this by joining non-clinical and administrative functions. HealthTrust Supply Chain best practice methodologies. We develop, apply and monitor cost-efficient initiatives and programs for HCA Healthcare. By improving facility efficiency, medical professionals can focus on our mission - patient care.
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.
"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Appeals Analyst opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and 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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