Appeals Specialist

POSTED ON 10/13/2021 AVAILABLE BEFORE 11/12/2021
HCA Healthcare Hired Organization Address Orange Park, FL Remote Full Time

Job Posting for Appeals Specialist at HCA Healthcare

Description

SHIFT: Work From Home
SCHEDULE: Full-time


Are you looking for a work environment where diversity and inclusion thrive? Submit your application with HCA Healthcare today and find out what it truly means to be a part of a team.

We are committed to providing our colleagues with the support they need. 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. Some of our unique benefits we offer part-time and full-time employees include:
 

  • Student Loan Repayment
  • Tuition Reimbursement/Assistance Programs
  • 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) 

We value your contributions. Our employee recognition programs encourage our teams to raise the bar. Come be a part of the change!  

As an Appeals Specialist, you will be responsible for performing end to end tasks for technical appeals.

In this role you will:

  • Triage incoming inventory for the Appeals team, validating appeal criteria is met
  • Compose technical denial arguments for reconsideration, including both written and telephonically
  • Identify contract protection that can be leveraged to overturn denials
  • Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument
  • Identify problem accounts/processes/trends and escalate as appropriate
  • Utilize effective documentation standards that support a strong historical record of actions taken on the account
  • Perform basic math to ensure accurate statement of accounts receivable

 

Qualifications

  • High School Diploma or GED preferred
  • Minimum of one year of experience in related area required

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.
 

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 actively reviewing applications. Highly qualified candidates will be promptly contacted for interviews. Submit your application and help us raise the bar in patient care!

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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