What are the responsibilities and job description for the Prebill Denials Coordinator position at HCA Healthcare?
Description
SHIFT: Work From HomeSCHEDULE: 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 Prebill Denials Coordinator to help us reach our goals. Unlock your potential here!
As a Prebill Denials Coordinator, you will serve as the SSC liaison for the Denial Management Action Team (DMAT) Project and identify areas for continued process improvements through data and reporting analysis that will further decrease new denials, final write off denials, and prebill denials. Works with SSC leadership, Division Leadership and others on process improvement opportunities.
What you will do in this role:
• Serve as the SSC Liaison for the Denial Management Action Team (DMAT) Project
• Submits standard monthly denial reports to Division Denial Management
• Monitor, record, communicate and escalate denial action items based on DMAT project findings to SSC leadership
• Serve as scribe for the DMAT facility meeting if requested by Division, Facility, or SSC leadership
• Facilitate the SSC DMAT meetings, along with others as assigned by SSC Leadership.
• Assist with identifying areas for continued process improvement to reduce denial via Division, Facility, and SSC DMAT meetings as well as reporting and data analysis.
• Analyze denial trends identified via applicable reports such as EDW, Visual Insight, special queries and other workflow tools
• Provide education and training as needed
• Establish and maintain relationships with all customers, including: SSC Leadership, Hospital Leadership, Division Leadership and other customers
• Demonstrates knowledge of regulatory requirements, Ethics and Compliance policies, and quality initiatives; monitors self-compliance and works with management to implement process changes needed to meet compliance and regulatory updates, along with quality initiatives
• Seeks assistance from immediate supervisor when in situations which are unclear or ambiguous
• Actively seeks ways to control costs without compromising quality of services delivered
• Adheres to established policy and procedure and escalates issues through the established Chain of Command
• Demonstrates commitment to teamwork and cooperation
• When time permits, assist the Prebill Denial Unit by working assigned accounts in the PDU Tool.
Qualifications
EDUCATION
• Associates Degree or above in Business, Finance, Accounting or related field
• Equivalent work experience may substitute degree requirement
EXPERIENCE
• One year of related experience required. Experience in the following areas: appeals, denials, managed care, verifications/notification, precertification, project management experienced preferred.
• Some travel may be 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 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.
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