Commercial Team Lead – Payment Compliance – Client Business in Richmond, VA at Parallon

Date Posted: 4/23/2018

Job Snapshot

Job Description

Commercial Team Lead – Payment Compliance – Client Business
 
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 Commercial Team Lead – Payment Compliance (Internal Title: Team Lead Overpayment Resolution) is responsible The Commercial Team Lead is responsible for assisting the Payment Compliance Manager with training of the commercial discrepancy inventory. Also, performs daily discrepancy account resolution and coding. This is a Full Time opportunity, working Monday through Friday, from 8:30AM to 5:00PM.
 
Duties (included but not limited to):
  • Provides introductory and ongoing training and education to staff to ensure that policies and procedures are followed
  • Meets with the Manager regularly to effectively communicate and resolve discrepancy trends, set and prioritize goals and improve processes
  • Assists with staff communication, providing updates, resolving issues, setting goals and maintaining standards, including performing QA for staff.
  • Maintain established departmental policies and procedures, objectives, patient, and customer service policies
  • Assist manager with development and implementation of department and project action plans
  • Perform validation of discrepancy reason codes assigned by Discrepancy Analyst
  • Initiate refunds of identified overpayments and reconsiderations of identified underpayments.
  • Monitor take-backs and initiate refunds as appropriate.
  • Meet the productivity and quality standards of the organization
  • Complete and comprehend all education requirements
  • Attend Conference calls with Payers for any issues, payer spreadsheets.
  • Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
  • Other duties as assigned

Job Requirements

EDUCATION
  • High School diploma or GED required
     

EXPERIENCE
  • At least one year of related experience required

 
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.