Prebill Denials Analyst

Description

SHIFT: No Weekends

SCHEDULE: 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.

We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment. We would love to talk to you about this fantastic opportunity.

Job Summary:

As a Prebill Denials Analyst you will review post discharge, prebill accounts that do not have an authorization on file and other account discrepancies identified that will result in the account being denied by the payor that do not require a clinical review. You will communicate with third party payors to resolve discrepancies prior to billing and accurately and concisely document all communications and action taken on the account in accordance with policies and procedures. Accounts requiring medical review are then escalated to the Prebill Denials Nurse.

Duties (included but not limited to):

• Work prebill accounts imported into the Prebill Denial Unit (PDU) Tool efficiently and effectively on a daily basis to resolve accounts
• Work assigned accounts in eRequest to resolve outstanding issues
• Report insurance denial trends identified during daily operational assignments
• Identify problem accounts and escalate as appropriate
• Document actions taken on the account clearly and concisely
• Contacting the facilities, physicians’ offices and/or insurance companies to resolve denials/appeals

Education and Experience:

• High school diploma or GED required.
• One year of related experience required.
• Experience in the following areas: appeals, denials, managed care, insurance verifications/notification, pre-certification experienced preferred

Parallon believes that organizations that continuously learn and improve will thrive. That’s why after more than a decade we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry’s leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.

We are a wholly owned subsidiary of HCA Healthcare, a comprehensive healthcare network where 265,000 people across more than 1,800 care facilities are all committed to creating a positive impact every day. It’s an organization that exists to give people healthier tomorrows. Our scale enables caregivers to deliver great outcomes for patients and gives colleagues unparalleled opportunities to learn and grow. Most importantly, as a part of HCA Healthcare we’re connected to something bigger, which means more resources, more solutions and more possibilities for everyone who walks through our doors. What matters most to our diverse and talented colleagues is giving people the absolute best healthcare possible. Every day, we seek to raise the bar higher, not just for ourselves, but for healthcare everywhere.

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.

Qualifications

Notice

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For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.

 

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