Underpayment Validation Specialist in Richmond at Parallon

Date Posted: 7/11/2019

Job Snapshot

Job Description

Underpayment Validation Specialist WFH
Work from Home
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.
Job Summary:
The Underpayment Validation Specialist (Internal Title: Underpayment Analyst) is responsible for researching and resolving Underpayments.  You will work directly with insurance contracts to determine what services have true underpayment discrepancy and discover the root cause of the discrepancy. 
This is a Full-Time work from home opportunity, Monday thru Friday, 8:30am – 5:00pm.
Duties (included but not limited to):
  • Perform and validate discrepancy reason coding of underpayment inventory
  • Pursue additional payment from payers on underpayment discrepancies through various means of communication (i.e., telephone, online, or via payment package processes)
  • Overcome objections that prevent payment of the claim
  • Gain commitment for payment through concise and factual collection techniques
  • Facilitate correction of non-payment related underpayment discrepancies through I-plan changes or coordination with other departments as needed
  • Identify and communicate trends to management, including those that might be appropriate for the dispute resolution process
  • Escalate accounts to appropriate individuals at the payer and via SSC management as needed, including accounts with lack of timely payer response
  • Utilize effective documentation standards that support a strong historical record of actions taken on the account

  • High school diploma or GED required

  • One year of related experience required
  • Experience working with insurance contracts preferred
  • Strong written and verbal communications skills
  • High level of attention to detail
  • Experience utilizing multiple systems
  • Experience reading reports
  • Experience with Microsoft Excel

We offer training support, competitive salary, and excellent benefits to include several insurance package options for Medical, Dental and Vision; Paid Time Off for vacation, sick leave and holidays, Employer-paid Short Term Disability, Company matching 401K and more!

Parallon is an Equal Opportunity Employer (EOE), minority/ female/ veteran/ disabled, offering a great work environment, challenging career opportunities, and competitive compensation.