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Billing Payer Resolution Analyst in Richmond at Parallon

Date Posted: 11/30/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Richmond
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    11/30/2018

Job Description

Billing Payer Response Analyst – Richmond, VA – Full-Time
 
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 Billing Payer Response Analyst is responsible for review and correction of claims rejected by the payer. This includes identifying trends and requesting updates to process and system master files to reduce future rejections by the payer.
 
DUTIES (included but not limited to):
  • Review and timely resolution of payer claim rejections, including but not limited to claim resubmission and update of payer identification for the account.
  • Documenting root cause of payer rejection for trending and staff education
  • Requesting process and/or system edit modifications to eliminate or reduce future payer claim rejections.
  • Trending of payer rejections for delivery to Billing Manager and distribution to impacted departments.
  • Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”.
  • Other duties as assigned
     
    KNOWLEDGE, SKILLS & ABILITIES:
  • Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.
  • 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
  • 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.

Job Requirements

EDUCATION:
High school diploma or GED required.
 
EXPERIENCE:
One year of related experience 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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