Hospital Bill Audit Coordinator in Nashville, Tennessee, United States
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Parallon

Hospital Bill Audit Coordinator

Nashville, TN, United States
Full-time • No Weekends
Admitting Registration Clerical and Scheduling   Job ID: 26012-191319
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Description

SHIFT: No Weekends
SCHEDULE: Full-time


Do you have a passion for healthcare and helping others? Do you enjoy working in a fast-paced, patient-centered environment? Jump-start your career today with Parallon.

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 dedicated professionals like you to be a part of our Scheduling team. Join us in our efforts to better our community!

We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, student loan repayment, employee discount program, and employee stock purchase program. We would love to talk to you about this fantastic opportunity.

As a Hospital Bill Audit Coordinator you will assist in managing and analyzing hospital bill audits by third party payers. You will serve as liaison between payors, hospitals, and the Shared Service Center (SSC) regarding status of pending, ongoing and finalized audits. You will notify appropriate responsible parties of reviews and maintain documentation of audit requests, current status, and outcomes of audits in a centralized location. Position will track and trend types of audits received and report findings to Manager.

 

In this role you will:

  • Coordinate handoffs of audits between responsible SSC departments such as Revenue Integrity for insurance charge audit reviews, HSC for coding or DRG related reviews and Ethics and Compliance and HCA – Regulatory Compliance Support (Regs) for government audits.

  • Communicate with payor representatives related to audit request and coordination of audits to be performed.

  • Analyze and approve audit requests received from payors.

  • Interact with payor to resolve questions or concerns related to coordination of audit request.

  • Maintain tracking of audits and coordinate obtaining the medical record for auditor to perform on-site audits

  • Communicate approved and denied insurance defense audits

 

Qualifications

Qualifications

  • Associate degree preferred; equivalent work experience may substitute.

  • Three years of hospital business office or related financial experience preferred.

  • Project management and payor contract experience preferred.  

Parallon is an industry leader in revenue cycle services. We partner with over 650 hospitals and 2,400 physician practices nation-wide. Our parent company, HCA Healthcare has been consistently named a World’s Most Ethical Company by Ethisphere and is ranked in the Fortune 100. We are dedicated to ensuring our patients have the best experience even after they leave our facilities.

If you find this opportunity compelling, we encourage you to apply. 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.




Notice

Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here.

For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.

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Details

Parallon
Full-time • No Weekends

About HCA Healthcare

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For questions about your job application or this site, please contact:
HCAhrAnswers at 1-844-422-5627 option 1.

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