Clinical Appeals Manager in Irving at Parallon

Date Posted: 8/16/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Irving
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    8/16/2019

Job Description

Are you looking for an organization that places integrity over their bottom line? Here at HCA Healthcare, our everyday decisions are founded on compassion. Apply today and join a team that is dedicated to serving others in need.
 
As part of the HCA Healthcare family, we want to invest in you. Create a customizable benefits package that will best suit your family’s needs. In addition to medical selections, you have the option to enroll in other perks such as our matching 401k, medical and childcare flex spending accounts, life insurance, and tuition reimbursement programs.
                                                                
You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for dedicated professionals like you to be a part of our Appeals team. Join us in our efforts to better our community!
 
As the Appeals Manager, you would be responsible for managing all activities related to monitoring and appealing denials received from Third Party Payers.


What you will do in this role:
  • Manage daily activities and inventory related to SSC Appeals function, ensuring processes are performed accurately, efficiently and effectively within all established operational and SOX guidelines.
  • Analyze trends in insurance denials and work with insurance companies to resolve underlying reasons for denials
  • Manage recurring coding or clinical documentation issues and correct the underlying causes for errors.
  • Coordinate with all necessary departments related to contract issues.
  • Perform QA for all processes within Appeals 

Qualifications:
  • Bachelor’s Degree in Business or related field required. Equivalent work experience may substitute education requirements.
  • Minimum three years’ experience in related area with two of these years being healthcare management experience OR completion of the Parallon Manager Trainee Program.

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 are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply. We promptly review all applications. Qualified candidates will be contacted for interviews. Unlock the possibilities and 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.