Senior Underpayment Analyst WFH

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!

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 Air Med 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.

The Senior Underpayments Analyst researches and resolves High Dollar Insurance Payer Underpayments through a concise understanding of Payer Contract language and respective payment calculation. Position requires individuals with high mathematical acumen, ability to access and assimilate data, articulate a strong case, confidence, and strong persuasion skill set. Results oriented individuals will be required to work through various options available to liquidate the most difficult high dollar underpayments.

Candidate will demonstrate ability to grow strategic payer relationships and obtain understanding of payer system to navigate through claims processing centers. Critical thinking skills are necessary, as well as the ability to see trends that require escalation to the Payment Compliance Director. Responsible for bundling similar cases not resolved through the standard Payment Compliance process and escalating to Dispute Resolution Team for legal action.

In this role you will:

• Analyzes hospital claims to identify contractual underpayments or billing errors.

• Resolves underpaid claims from various payer products including HMO, PPO, Medicaid, Medicare and Workers  Compensation.

• Articulates contract provisions to representatives from healthcare payer companies and government agencies.

• Contacts payer companies via phone or correspondence and initiates request for payment.

• Performs appropriate follow-up with Payer and gains commitment for payment.

• Escalates Payer lack of response and/or lack of payment within Payer organization as appropriate.

• Identifies and communicates contract interpretation issues and language discrepancies to leadership as appropriate.

• Identifies Payer company trends and communicates trends to supervisor for further action/escalation.

• Serves as a subject matter expert in Payer contract dispute resolution process.

Qualifications that you will need:

• Bachelor s degree in business or 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…