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Claims Resolution Specialist at Parallon in Brentwood, Tennessee

Posted in Other 30+ days ago.

Type: Full Time





Job Description:

DESCRIPTION SHIFT: Work From Home

SCHEDULE: Full-time

Do you have a passion for healthcare and helping others? Do you enjoy working in a fast-paced, patient-centered environment? Jump-start your career today with HCA Healthcare

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 dedicated professionals like you to be a part of our Claim Status team. Join us in our efforts to better our community!

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, student loan repayment, employee stock purchase program and student loan repayment. We would love to talk to you about this fantastic opportunity.

As a Claims Resolution Specialist you will be responsible for applying fundamental knowledge of healthcare revenue cycle practices and procedures as it relates to researching, analyzing, and resolving open insurance claims and balances. This job requires regular outreach to payors.

In this role you will:

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Conduct follow-up with payors, vendors, and clearinghouse on open insurance claims and balances in compliance with departmental policies and procedures
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Resubmit primary and secondary claims
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Identify potential claim issues and escalate to management
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Review, identify, and resolve payor denials
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Update patient accounts as appropriate
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Ensure adjustments are posted timely and correctly for claims that need to be adjusted
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Resolve claims impacted by payor recoupments and refunds

QUALIFICATIONS

Qualifications

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High school diploma or GED required
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Minimum one year related healthcare experience preferred. Relevant education may substitute experience requirement.

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.

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.