Appeals Specialist in Richmond at Parallon

Date Posted: 7/31/2019

Job Snapshot

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Job Description

Work From Home
Do you want to be a part of an organization that is devoted to giving back? Last year alone, our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities.

We want to ensure your needs are met. We offer a variety of comprehensive medical, dental, and vision plans along with some unique benefits including:
    • Student Loan Repayment Program
    • 100% matching 401k based on years of service
    • Tuition Assistance/Reimbursement Programs
    • Consumer discounts on hundreds of goods and services
    • Leadership development programs
    • Auto, Home, and Life insurance options
    • Employee Stock Purchase Program (ESPP)
    • Medical and childcare flex spending accounts   

We are seeking an Appeals Specialist for our center to ensure that we continue to provide all patients with high quality, efficient care. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels providing patient support is as meaningful as we do. We want you to apply now!

As a Appeals Specialist, you will work directly with our Shared Service Center providing follow up to denied claims.

What you will do in this role:
• 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

Job Requirements

• High school diploma or GED required
• One year of related experience required
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.

If you find this opportunity compelling, we encourage you to apply. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are actively interviewing so apply today!

We are an equal opportunity employer and 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.