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Hospital Bill Audit Coordinator in Nashville at Parallon

Date Posted: 4/29/2019

Job Snapshot

Job Description

Parallon believes that organizations that continuously learn and improve will thrive. That’s why, after more than a decade, we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry’s leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.
 
We are looking for a dynamic candidate to be part of our team.  We offer excellent benefit packages, including 401K, bonus potential, tuition reimbursement, medical and dental plans, flexible spending plans, long-term/ short -term disability, and generous paid time off!
 
 
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
  • Interacts and coordinates handoffs of audits between responsible SSC departments such as Revenue Integrity for insurance charge audit reviews, HSC for coding or DRG related reviews
  • Position will communicate with payor representatives related to audit request and coordination of audits to be preformed.
  • Analyze and approve audit requests received from payors
  • Maintain tracking of audits and coordinate obtaining the medical record for auditor to preform on-site audits
  • Maintain statistical data as required
  • Interact with payor to resolve questions or concerns related to coordination of audit request

We are in need of a Hospital Bill Audit Coordinator. The position assists in managing and analyzing hospital bill audits by third party payers. Also serves as the lizision between payors, hospitals, and the shared service center regarding status of pending, ongoing and finalized audits. We offer many opportunities for career growth. You need the following to be our top candidate:
  • Associate degree preferred; equivalent work experience may substitute
  • 3 years of hospital business office or related financial experience preferred
  • Project management and payor contract experience preferred