Medicaid Eligiblity Area Manager in Nashville at Parallon

Date Posted: 8/18/2019

Job Snapshot

Job Description

Do you have exceptional customer service and the ability to plan organize and exercise sound judgment?  Do you demonstrate communication, problem solving and case management skills and the ability to act/decide accordingly?  Now is the time to join our team of motivated and nurturing individuals working to assist patients with their Medicaid Eligibility screening and enrollment.  Ideal candidates will have a steady work knowledge of medical terminology, practices and procedures, as well as laws, regulations, and guidelines.  You should also share a passion for our purpose, "To serve and enable those who care for and improve human life in their community."
Does this sound like you?  If so, APPLY TODAY.  See what makes us a fabulous place to work!     
  • We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe deeply in our team and your ability to do excellent work with us.
  • Your benefits package allows you to select the options that best meet the needs of you and your family. Benefits include 401k, paid time off medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment.

  • Will supervise a staff of Emergency Department Financial Counselors or a staff of Patient Benefits Advisors across multiple facilities.  The staffing level usually will be 5-10 employees.
  • Will coordinate with HR, Area Director, and Regional Director on all department recruitment needs and will conduct an assessment of potential applicants to interview and work closely with Area Director on the selection of appropriate candidates for employment.
  • Will complete all administrative tasks required for hiring, patient account maintenance, and all other required facility and Parallon reporting needs.
  • Will provide staff training and ongoing department auditing to secure accuracy of all processes, specific facility and department requirements, and successful contractual performance results.
  • Will evaluate employee performance and is responsible for coordinating with HR, Area Director, and Regional Director for any needed corrective action and termination decisions.
  • Is responsible for daily operations of facility contract and will coordinate and communicate successfully with Administration of Hospital and Area and Regional Directors to secure maximum contract success.
  • Will participate in required Parallon and facility meetings and any recommended activities to develop successful business relationships and quality contract performance requirements.
  • Will provide coverage as an Emergency Department Financial Counselor as designated by facility contract.
  • Identify and communicate continuous improvement suggestions and be a proactive and positive member of Parallon management team.
  • Adheres to and supports organizational IT&S standards, policies, and procedures.
  • Adheres to Code of Conduct.
  • Performs other duties as assigned.

Job Requirements

  • College degree preferred and high school diploma (required).
  • Minimum three years of hospital/medical business office experience with insurance procedures and patient interaction
  • Thorough knowledge of Medicaid and SSI required
  • Understanding of patient confidentiality to protect the patient and the clinic/corporation. 
  • Ability to collect, synthesize and research complex or diverse information.

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.

We are an equal opportunity employer and we 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