Work from Home Looking for Payment Compliance Analyst at Nashville, Tennessee Full Time

Introduction

Do you want to join an organization that invests in you as a Payment Compliance Analyst? At HCA you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

HCA/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

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Payment Compliance Analyst like you to be a part of our team.

Job Summary and Qualifications

Job Summary – 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.

Supervisor – Payer Analysis Operations/Systems Manager

Duties (included but not limited to):

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
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
Validates Dispute Resolution Inventory submissions from SSCs
Maintains monthly inventory status of Denial Escalation claim reviews
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
Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
Other duties as assigned

Knowledge, Skills & Abilities

Communication – communicates clearly and concisely, verbally and in writing
Customer orientation – establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
Interpersonal skills – able to work effectively with other employees, patients and external parties
PC skills – demonstrates proficiency in Microsoft Office applications, SQL, EMR and other applications as required
Policies & Procedures – demonstrates knowledge and understanding of organizational policies, procedures and systems
Basic skills – able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately
Financial analysis skills – knowledge of research techniques sufficient to collect and interpret data. Knowledge of descriptive statistics to analyze statistical data and prepare estimates. Knowledge of legal and fiscal requirements and regulations. Skill in interpreting and analyzing data. Skill in examining documents for correctness and interpreting their accuracy.

EXPERIENCE

3-4 years relevant experience.
Revenue Cycle/SSC experience preferred.
HCA-based system experience preferred.

Parallon 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.

“Good people beget good people.”- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Payment Compliance Analyst opening. Qualified candidates will be contacted 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.