Virtual Appeals Specialist

Description

Do you want to be a part of an organization that is devoted to giving back? Last year alone, our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities.

We want to ensure your needs are met. We offer a variety of comprehensive medical, dental, and vision plans along with some unique benefits including:

• Student Loan Repayment Program
• 100% matching 401k based on years of service

• Tuition Assistance/Reimbursement Programs

• Consumer discounts on hundreds of goods and services

• Leadership development programs

• Auto, Home, and Life insurance options

• Employee Stock Purchase Program (ESPP)

• Medical and childcare flex spending accounts   

We are seeking an Appeals Resolution Specialist for our center to ensure that we continue to provide all patients with high quality, efficient care. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels providing patient support is as meaningful as we do. We want you to apply now!

As a Appeals Resolution Specialist, you will work directly with our Shared Service Center providing follow up to denied claims.

• 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.

• Ability to perform basic math to ensure accurate statement of accounts receivable

Qualifications

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.

#ParallonBCOM

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.