Payment Compliance Specialist
2 days ago
We are seeking a highly skilled Payment Compliance Analyst to join our team. As a Payment Compliance Analyst, you will work closely with our Payer Analysis Manager to provide financial analysis and operational support for Payment Compliance functions.
Key Responsibilities- Develop and maintain reporting solutions to support the Dispute Resolution process and Parallon operations.
- Assist with the preparation of weekly and monthly financial reports, as well as ad hoc requests from senior leadership.
- Work with corporate Payment Compliance manager to identify and communicate issues related to Dispute Resolution inventory.
- Facilitate the monthly logging and review of Dispute Resolution inventory reconciliation.
- Prepare explanations of changes in Dispute Resolution inventory results and trends.
- Prepare monthly reports and presentations related to Dispute Resolution inventory.
- Validate Dispute Resolution Inventory submissions from SSCs.
- Track disposition and status of legal activity associated with Dispute Resolution Inventory.
- Maintain inventory status of Denial Escalation claim reviews and prepares monthly reporting.
- Manually validates expected reimbursement on inventory using available contracts and claims billed.
- Assist with field communication, providing updates, and resolving issues.
- Assist with developing, and monitoring adherence to, quality assurance standards.
- Assist manager with implementation and monitoring of project and department action plans.
- Assist with training of report users and development of related educational materials.
- Assist with preparation and coordination of communication and monthly calls with SSC.
- High School Graduate / GED
- 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.
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.
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