Appeals Resolution Specialist in Richmond, VA at Parallon

Date Posted: 6/21/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Richmond, VA
  • Job Type:
    Other
  • Experience:
    Not Specified
  • Date Posted:
    6/21/2018

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 areas of revenue cycle (billing, collections, and denial management), technology, patient registration, insurance verification, and health information management.
 
The Appeals Resolutions Specialist (Internal Title: Appeals Specialist) is responsible for performing end to end tasks for the technical appeals process. This is a Full Time opportunity, working Monday through Friday, from 8:30AM to 5:00PM, including weekends and holidays to assist with the fiscal month end close.
 
Duties (include 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 calculations, to ensure accurate statement of accounts receivable
  • Ability to punctuate properly, spell correctly and transcribe accurately

Job Requirements

EDUCATION
  • High school diploma or GED

 
EXPERIENCE
  • Minimum of one year related work experience required
  • Strong Microsoft Excel experience required
  • The ability to read and interpret medical records preferred

 
We offer a convenient location, free parking, training support, competitive compensation, and excellent benefits that include several insurance packages to choose from, paid time off for vacation, sick leave and holidays, company matching 401K.
 
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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