Payment Compliance Analyst in Nashville, Tennessee, United States
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Payment Compliance Analyst

Work from Home
Nashville, TN, United States
Full-time • Work From Home
Marketing and Communications   Job ID: 408795
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Description

Do you want to join an organization that invests in you as a Payment Compliance Analyst? At Parallon, you come first.  HCA Healthcare has committed up to $300 million to our incredible team members over the course of three years.

We are committed to providing our employees with the support they need.

 

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 Payment Compliance Analyslike you to be a part of our team.

 
Job Summary

The Payment Compliance Analyst works closely with the Payer Analysis Manager to provide financial analysis and operational support for Payment Compliance functions. Assists the Manager, Director and VP of Dispute Resolution 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 (included but not limited to):

  • Assists in the development of financial data collection and measurement tools with respect to oversight of the Dispute Resolution process and SSC Payment Compliance teams
  • Assists with preparation of weekly and monthly financial reports as well as ad hoc requests from senior leadership
  • Works with corporate Payment Compliance manager to effectively identify and communicate issues related to Dispute Resolution inventory
  • Facilitate the monthly logging and review of Dispute Resolution inventory reconciliation
  • Prepares explanations of changes in Dispute Resolution inventory results and trends
  • Prepares monthly reports and presentations related to Dispute Resolution inventory
  • Validates Dispute Resolution Inventory submissions from SSCs
  • Tracks disposition and status of legal activity associated with Dispute Resolution Inventory
  • Maintains inventory status of Denial Escalation claim reviews and prepares monthly reporting
  • Manually validates expected reimbursement on inventory using available contracts and claims billed
  • Assists with field communication, providing updates, and resolving issues
  • Assists with developing, and monitoring adherence to, quality assurance standards
  • Assists manager with implementation and monitoring of project and department action plans
  • Assists with training of report users and development of related educational materials
  • Assists with preparation and coordination of communication and monthly calls with SSCs
  • Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • Interpersonal skills - able to work effectively with other employees, patients and external parties
  • PC skills - demonstrates proficiency in Microsoft Office applications, SQL, EMR and other applications as required
  • Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately
  • Financial analysis skills - knowledge of research techniques sufficient to collect and interpret data. Knowledge of descriptive statistics to analyze statistical data and prepare estimates. Knowledge of legal and fiscal requirements and regulations. Skill in interpreting and analyzing data. Skill in examining documents for correctness and interpreting their accuracy.

  • 3-4 years relevant experience.
  • Revenue Cycle/SSC experience preferred.
  • HCA-based system 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 are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Payment Compliance 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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Details

Work from Home
Full-time • Work From Home

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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