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Underpayment Analyst

Nashville, TN, United States

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Description

SHIFT: No Weekends

SCHEDULE: Full-time

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, a Fortune 100 company with more than 200,000 employees and one of the nation's leading providers of healthcare services, operating over 170 locally managed hospitals and over 100 freestanding surgery centers in 20 states and the United Kingdom. HCA has been named one of the world's most ethical companies for eight years in a row. At HCA, we are driven by a single goal: the care and improvement of human life.

 

Job Summary

The Underpayment Analyst is responsible to support the Attorney serving in the role of Senior Counsel, Payer Specialization.  This individual will be responsible to confirm claim underpayments, 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 underpayment 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.

 

Duties (included but not limited to):

  • Perform and validate discrepancy reason coding of underpayment inventory
  • Prepare documentation to support additional payment from payers on underpayment discrepancies
  • 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
  • Facilitate correction of non-payment related underpayment discrepancies through I-plan changes or coordination with other departments as needed
  • 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

Qualifications

Education and Experience

  • Bachelor’s Degree required.
  • Three years of related experience required.

Benefits of working at Parallon

Our benefits package allows you to select the options that best meet the needs of you and your family. Benefits include 401k with a company match, paid time off, medical, dental, vision, flex spending for both health and day care, life insurance, disability, tuition reimbursement and student loan repayment, employee discount program, employee stock purchase program.

 

We are an equal opportunity employer and we 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.

 
#ParallonBCOM 

Parallon
Facility: Parallon
Job ID: 10251-2741
Category: Finance Accounting Billing Claims and Revenue
Contract: Full-time
Shift: No Weekends
Job Class: Regular

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