Senior Underpayment Analyst job at HCA - Hospital Corporation of America in Nashville, TN

Title: Senior Underpayment Analyst WFH Location: Nashville United States Job Description: Description Introduction Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Senior Underpayment Analyst WFH with Work from Home you can be a part of an organization that is devoted to giving back!

Benefits

Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Work from Home family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Senior Underpayment Analyst WFH to help us reach our goals. Unlock your potential! Job Summary and Qualifications The Senior Underpayments Analystresearchesandresolves High Dollar Insurance Payer Underpayments througha conciseunderstanding of Payer Contract language and respective payment calculation. Position requires individuals with high mathematical acumen, ability to access and assimilate data, articulatea strong case, confidence, and strong persuasion skill set. Results orientedindividualswillbe requiredto work throughvarious optionsavailable to liquidate the most difficult high dollar underpayments. Candidate willdemonstrateabilityto grow strategic payer relationships and obtain understanding ofpayersystem to navigate through claims processing centers.Critical thinking skills are necessary, as well asthe abilityto see trends that require escalation to the Payment Compliance Director.Responsible for bundling similar cases not resolved through the standard Payment Compliance process andescalatingtoDisputeResolution Team for legal action. In this role you will: Analyzes hospital claims toidentifycontractual underpayments or billing errors. Resolves underpaid claims from various payer products including HMO, PPO, Medicaid,Medicareand Workers Compensation. Articulatescontract provisions to representatives from healthcare payer companies and government agencies. Contactspayer companies via phone or correspondence andinitiatesrequest for payment. Performsappropriate followup with Payer and gains commitment for payment. Escalates Payer lack of response and/or lack of payment within Payer organization as appropriate. Identifiesand communicates contract interpretation issues and language discrepancies to leadership asappropriate. IdentifiesPayer company trends and communicates trends to supervisor for further action/escalation. Serves as a subject matter expert inPayercontract dispute resolution process. Qualifications that you will need: Bachelors degree in businessor related field required. Relevant work experience may substitute degree requirements. Two years of related experience preferred. Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. 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. " "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Be a part of an organization that invests in you! We are reviewing applications for our Senior Underpayment Analyst WFH opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Apply tot his job Apply To this Job