Director Payer Analysis and Reporting in San Antonio, TX at Parallon

Date Posted: 5/12/2018

Job Snapshot

Job Description

Parallon is one of the country’s largest premier revenue cycle partners, with more than 15,800 employees serving 600 hospitals and 3,000 physician practices. Annually, we collect more than $41 billion and interact with 37 million patients. Our track record of results is among the best in the industry.  We serve hospitals, physician practices and healthcare systems by bringing deep operational knowledge and tailored revenue cycle solutions so that providers can focus on fulfilling their mission.

 

JOB TITLE: Director Payer Analysis & Reporting Services (PARS)

 

GENERAL SUMMARY OF DUTIES - The PARS Director oversees the standard accrual, cash posting, logging and remittance advice discrepancy functions. This individual is responsible for consistent application of all standard A/R and Accounting processes, and for accurate and timely discount and allowance calculations, analyses and reconciliations. The PARS Director will serve as a key liaison between the PAS CFO and the RCOM A/R Valuation and Accounting Processes staff. As part of this role, this individual must demonstrate strong commitment to stakeholder relationships by taking ownership of issues and facilitating effective outcomes in a timely manner.

 

SUPERVISOR - PAS CFO

 

SUPERVISES - PARS staff

 



TRANSITION DUTIES INCLUDE BUT ARE NOT LIMITED TO:


•         Provide input to PARS process design and consolidation of facility processes to PASs

 



OPERATIONAL DUTIES INCLUDE BUT ARE NOT LIMITED TO:


•         Oversee the standard accrual, cash posting, logging and remittance advice discrepancy functions


•         Ensure consistent application of A/R adjustment and standard accrual tools to figure appropriate discounts and allowances by payer class and insurance plan


•         Oversee management of logs, including verification of log accuracy, daily reporting and resolution of log discrepancies


•         Understand and communicate contract specific issues related to discount and allowance calculations for a variety of payers such as Medicare, Medicaid, HMO’s, PPO’s, IPA’s, employers, etc.


•         Oversee  management of  PARS personnel, providing recommendations for hiring, promotion, salary adjustment and personnel action where appropriate


•         Support  corporate  Solutions  Management  and  PAS  Implementation  staff  in  company-wide initiatives such as the development of standard accrual processes


•         Establish controls and review mechanisms for PAS policies and procedures


•         Monitor trends and communicate significant shifts in market or operating conditions to PAS and facility leadership


•         Identify and implement process improvements to lower billing costs and improve services to facility customers


•         Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”


•         Other duties as assigned

 



KNOWLEDGE, SKILLS & ABILITIES


•         Organization - proactively prioritizes needs and effectively manages resources


•         Communication - communicates clearly and concisely


•         Leadership - guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services


•         Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations


•         Tactical execution - oversees the development, deployment and direction of complex programs and processes


•         Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures and systems


•         PC skills - demonstrates proficiency in Microsoft Office applications and others as required

 


•         Financial management - applies tools and processes to successfully manage to budget


•         Project Management - assesses work activities and allocates resources appropriately

Job Requirements



EDUCATION


•         Bachelor’s Degree in Business or related field

 



EXPERIENCE


•         Payer analysis experience


•         Minimum 5 years management experience

 

CERTIFICATE/LICENSE - CPA highly preferred

 

            Parallon/HCA is an equal opportunity workforce and no one shall discriminate against any individual with regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity or expression, genetic information or veteran status with respect to any offer, or term or condition, of employment. We make reasonable accommodations to the known physical and mental limitations of qualified individuals with disabilities.

 

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