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Appeals Resolution Specialist in Richmond at Parallon

Date Posted: 12/7/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Richmond
  • Job Type:
  • Experience:
    At least 1 year(s)
  • Date Posted:
    12/7/2018

Job Description

Appeals Resolution Specialist
 
Parallon is an affiliate of Hospital Corporation of America (HCA Holdings, Inc.) and is a leading provider of healthcare business and operational services. Parallon supports healthcare providers in the area of revenue cycle (billing, collections, denial management), technology, patient registration, insurance verification and health information management.
 
Job Summary:
The Appeals Resolution Specialist (Internal Title: Appeals Specialist) is responsible for performing end to end tasks for technical appeals.
 
Duties (included but not limited to):
  • Triage incoming inventory for the Appeals team, validating appeal criteria is met
  • Compose technical denial arguments for reconsideration, including both written and telephonically
  • Identify contract protection that can be leveraged to overturn denials
  • Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument
  • Identify problem accounts/processes/trends and escalate as appropriate
  • Utilize effective documentation standards that support a strong historical record of actions taken on the account.
  • Ability to perform basic math to ensure accurate statement of accounts receivable

 
Education:
  • High school diploma or GED required

 
Experience:
  • Minimum one year of experience in related area required

 
We offer free parking, 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.
 
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