Appeals Manager in Largo, Florida, United States
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Appeals Manager

Florida Service Center
Largo, FL, United States
Full-time • Work From Home
Directors and Managers   Job ID: 61111-209294
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Description

SHIFT: Work From Home
SCHEDULE: Full-time


Do you want to be a part of a family and not just another employee? Are you looking for a work environment where diversity and inclusion thrive? Submit your application today and find out what it truly means to be a part of a team.

At HCA Healthcare, you have options. You can choose from a variety of benefits to create a customizable plan. You have the ability to enroll in several medical coverage plans including vision and dental. You can even select additional a la carte benefits to meet all your needs. Enroll in our Employee Stock Purchase Plan (ESPP), 401k, flex spending accounts for medical and childcare needs, and participate in our tuition reimbursement and student loan repayment programs.

HCA Healthcare is dedicated to the growth and development of our colleagues. We will provide you the tools and resources you need to succeed in our organization. We are currently looking for an ambitious Appeals Manager to help us reach our goals. Unlock your potential here!

 

As an Appeals Manager, you will be responsible for managing all activities related to monitoring and appealing denials received from Third Party Payers.

 

What you will do in this role:

  • Manage daily activities and inventory related to SSC Appeals function, ensuring processes are performed accurately, efficiently and effectively within all established operational and SOX guidelines.

  • Analyze trends in insurance denials and work with insurance companies to resolve underlying reasons for denials

  • Manage recurring coding or clinical documentation issues and correct the underlying causes for errors.

  • Coordinate with all necessary departments related to contract issues.

  • Perform QA for all processes within Appeals

  • Screen, interview, and hire new employees

  • Arrange for training of new employees

  • Review each staff member’s productivity on a monthly basis and performing annual evaluations

 

Qualifications

EDUCATION

Bachelor’s Degree in Business or related field required. Equivalent work experience may substitute education requirements.


EXPERIENCE

Minimum three years’ experience in related area with two of these years being healthcare management experience OR completion of the Parallon Manager Trainee Program.

 

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 a family 270,000 strong! Our Talent Acquisition team is reviewing applications immediately. Highly qualified candidates will be promptly contacted by our hiring managers for interviews. Submit your resume today to join our community of caring!

 

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

Directors and Managers
Florida Service Center
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 have received the first dose of a two-dose COVID-19 vaccination series (or a one-dose COVID-19 vaccination) to meet CMS requirements, 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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For questions about your job application or this site, please contact;
HCAhrAnswers at 1-844-422-5627 option 1.

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