Job Information
HCA Healthcare Payment Compliance Analyst in Nashville, Tennessee
Description
Introduction
Do you have the career opportunities as a Payment Compliance Analyst you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nation's leading provider of healthcare services, HCA Healthcare.
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 (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)
Note: Eligibility for benefits may vary by location.
Our teams are a committed, caring group of colleagues. Do you want to work as a Payment Compliance Analyst where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!
Job Summary and Qualifications
The Payment Compliance Analyst works closely with the Payer Analysis Manager to provide financial analysis and operational support for Payment Compliance functions. Assists the Manager, Director and VP of Dispute Resolution with developing and maintaining reporting solutions necessary to support the Dispute Resolution process and Parallon operations, including the development of tools to effectively measure performance.
What you will do in this role:
Assists in the development of financial data collection and measurement tools with respect to oversight of the Dispute Resolution process and SSC Payment Compliance teams
Assists with preparation of weekly and monthly financial reports as well as ad hoc requests from senior leadership
Works with corporate Payment Compliance manager to effectively identify and communicate issues related to Dispute Resolution inventory
Facilitate the monthly logging and review of Dispute Resolution inventory reconciliation
Prepares explanations of changes in Dispute Resolution inventory results and trends
Prepares monthly reports and presentations related to Dispute Resolution inventory
Validates Dispute Resolution Inventory submissions from SSCs
Tracks disposition and status of legal activity associated with Dispute Resolution Inventory
Maintains inventory status of Denial Escalation claim reviews and prepares monthly reporting
Manually validates expected reimbursement on inventory using available contracts and claims billed
Assists with field communication, providing updates, and resolving issues
Assists with developing, and monitoring adherence to, quality assurance standards
Assists manager with implementation and monitoring of project and department action plans
Assists with training of report users and development of related educational materials
Assists with preparation and coordination of communication and monthly calls with SSC
What qualifications you will need:
High School Graduate / GED
3-4 years relevant experience
Revenue Cycle/SSC experience preferred
HCA-based system experience preferred
Parallon (https://parallon.com/) 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.
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Payment Compliance Analyst opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and 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.