Senior Underpayment Analyst
Company: HCA Healthcare
Location: Idaho Falls
Posted on: January 26, 2023
Job Description:
Description Are you looking for a work environment where
diversity and inclusion thrive? Submit your application with HCA
Healthcare today and find out what it truly means to be a part of a
team. We are committed to providing our colleagues with the support
they need. We offer an array of medical, dental, and vision
packages as well as several add-on perks to make your benefits
package truly customizable to you. Some of our unique benefits we
offer include:
- Student Loan Repayment
- Tuition Reimbursement/Assistance Programs
- 401k (100% annual match - 3%-9% of pay based on years of
service)
- Identity Theft Protection discounts
- Auto, Home, and Life Insurance options
- Adoption Assistance
- Employee Stock Purchase Program (ESPP) We value your
contributions. Our employee recognition programs encourage our
teams to raise the bar. Come be a part of the change! As a Senior
Underpayment Analyst, you will research and resolve high dollar
insurance payer underpayments through 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
individual 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 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 escalate 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. Bachelor's degree required. Master's degree
preferred. Two years of related experience preferred. 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. HCA Healthcare is dedicated
to the growth and development of our colleagues. We will provide
you the tools and resources you need to succeed in our
organization. We are actively reviewing applications. Highly
qualified candidates will be promptly contacted for interviews.
Submit your application and help us raise the bar in patient care!
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. #ParallonBCOM
This position is incentive eligible.
Keywords: HCA Healthcare, Idaho Falls , Senior Underpayment Analyst, Professions , Idaho Falls, Idaho
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