Senior Underpayment Analyst

Overview

This Work from Home position requires that you live and perform the duties of the position within 60 miles of an HCA Healthcare Hospital. Our hospitals are located in the following states: FL, GA, , KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA.

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Senior Underpayment Analyst today with Parallon.

• 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 Air Med 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.

Note:
Eligibility for benefits may vary by location.

Come join our team as a Senior Underpayment Analyst. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!

Seeking a Senior Underpayment Analyst, who researches and resolves 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. A 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 the Dispute Resolution Team for legal action.

We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you. We want you to apply today!

What you will do in this role:

• 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

What qualifications you will need:

• Bachelor’s Degree in Business or related field required. Relevant work experience may substitute degree requirements.
• Two years of related 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…