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Underpayment Resolution Manager in Largo at Parallon

Date Posted: 5/13/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Largo
  • Job Type:
  • Experience:
    At least 3 year(s)
  • Date Posted:
    5/13/2019

Job Description

Parallon believes that organizations that continuously learn and improve will thrive. That’s why, after more than a decade, we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry’s leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.


Part and full-time employees gain access to incredible benefits, including health, life, dental, and pet insurance. Thinking about returning to school? We offer tuition reimbursement, and an ever popular student loan forgiveness program! Our popular employee discount program provides you with deep discounts on everyday purchases, like cell phone plans and travel. The benefits of working for Parallon are exceptional!



Job Summary – The Underpayment Resolution Manager is responsible for managing activities related to analysis and collection of verified insurance underpayments.
Supervisor – Payment Resolution Director
Supervises – Underpayment Resolution Staff
Duties (included but not limited to):
• Manage daily activities related to SSC underpayment resolution functions, ensuring processes are performed efficiently and effectively
• Ensure that underpayment discrepancies are collected timely and accurately
• Meet with payers to resolve ongoing payment resolution issues
• Coordinate with all necessary departments on contract issues related to underpayment discrepancies
• Analyze trends in underpayment inventory and work with insurance companies to resolve underlying reasons
• Perform QA for all processes within the Underpayment Resolution area
• Screen, interview and hire new employees
• Arrange training of new employees
• Review each staff member’s productivity on a monthly basis and performs annual evaluation
• Counsel staff with disciplinary and productivity issues
• Resolve issues escalated by underpayment resolutions staff
• Conduct monthly staff meetings.
• Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
• Other duties as assigned



Job Requirements

KNOWLEDGE, SKILLS & ABILITIES
Organization - proactively prioritizes needs and effectively manages resources
Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately. The ability to communicate with staff, Parallon Management, Division and Group Executives
Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
Interpersonal skills - able to work effectively with other employees, patients and external parties
PC skills - demonstrates proficiency in Microsoft Office applications and others as required  • Leadership - guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services

Tactical execution - oversees the development, deployment and direction of complex programs and processes
Project Management - assesses work activities and allocates resources appropriately
Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes, have ability to work quickly and accurately in a fast-paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player, adaptability, analytical and problem solving ability and attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.
EDUCATION
Bachelor’s Degree in Business or related field required. Equivalent work experience may substitute education requirements
EXPERIENCE
Minimum three years’ experience in related area with two of these years being healthcare management experience OR completion of the Parallon Manager Trainee Program.
CERTIFICATE/LICENSE - N/A
PHYSICAL DEMANDS/WORKING CONDITIONS
Requires prolonged sitting/standing, some bending, stooping, walking and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports or other information. Requires lifting papers/boxes and pushing/pulling up to 25 pounds occasionally. Work is performed in an office environment or hospital setting. Work may be stressful at times. Contact may involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations.
 
We invite you to join our team today.  Apply online now!
 
“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 status.”

 
 
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