Manager Overpayment Resolution in Nashville, TN at Parallon

Date Posted: 6/18/2018

Job Snapshot

Job Description

Parallon, a leading health care company is offering a great opportunity. We are looking for dynamic candidates to be part of our team.  We offer excellent relocation and 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!
 
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 services in the areas of revenue cycle, purchasing, supply chain, technology, workforce management and consulting. 
 
 
We are in need of an experienced Manager for our Service Center.  You will be part of the team managing our Overpayments Department. You will oversee a team of 18-20 employee's working all aspects of hospital accounts that have received a refund request, or has a credit balance or an overpayment variance by an insurance company (government and non-government entity) or patient. You will be responsible for all activities related to analyses and resolution of overpayment discrepancies, credit balances and the refund process. This is a challenging, metrics-driven environment that requires a self-starter who can make key decisions without direction.  We offer many opportunities for career growth.  You need the following to be our top candidate:
 
 
  • Bachelors Degree
  • Minimum 3 years management experience preferably in a multi-site/multi-state environment
  • Revenue Cycle Knowledge/experience
  • Cashiering/Accounting experience

  • Preferred experience in a healthcare setting
  • Strong call center operational knowledge
  • Detail-oriented
  • Ability to work simultaneously with multiple systems
  • Strong team-building skills
  • Excellent written skills
  • Excellent verbal skills
  • Strong problem-solving skills
  • Ability to Identify Trends
  • Ability to build and maintain internal and external relationships
  • Must be flexible
  • Proven track record of inventory management and account resolution
  • Proven track record managing staff productivity and quality
  • Proven track record of successful process improvement in account resolution
     
    Duties include, but are not limited to:
  • Manage daily activities related to the service center overpayment discrepancy, refund and credit balance resolution functions, ensuring processes are performed effectively and efficiently.
  • Analyze trends in discrepancy coding and work to decrease incoming inventory
  • Assure that verified overpayment discrepancies are refunded timely and accurately.
  • Identify internal and external opportunities (contract language, processes) to facilitate effective operations.
  • Work as a liaison between the overpayment resolution staff and other SSC staff
  • Resolve issues escalated by staff
  • Conduct monthly staff meetings
  • Review each staff member’s productivity on a monthly basis and performing annual evaluations
  • Screen, interview and hire new employees.
  • Arrange training of new employees.
  • Review each staff member’s productivity on a monthly basis and performs annual evaluation.
  • Counsel staff with disciplinary and productivity issues.
  • Resolve issues escalated by overpayment resolutions staff.
  •  Practice and adhere to the “Code of Conduct” philosophy and “Mission Value Statement”
  • Other duties as assigned

 

Job Requirements

Parallon, a leading health care company is offering a great opportunity. We are looking for dynamic candidates to be part of our team.  We offer excellent relocation and 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!
 
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 services in the areas of revenue cycle, purchasing, supply chain, technology, workforce management and consulting. 
 
 
We are in need of an experienced Manager for our Service Center.  You will be part of the team managing our Overpayments Department.  You will oversee a team of 18-20 employee's working all aspects of hospital accounts that have received a refund request, or has a credit balance or an overpayment variance by an insurance (government and non-government entity) or patient.  You will be responsible for all activities related to analyses and resolution of overpayment discrepancies, credit balances and the refund process. This is a challenging, metrics-driven environment that requires a self-starter who can make key decisions without direction.  We offer many opportunities for career growth.  You need the following to be our top candidate:
 
 
  • Bachelors Degree
  • Minimum 3 years management experience preferably in a multi-site/multi-state environment
  • Revenue Cycle Knowledge/experience
  • Cashiering/Accounting experience
  • Preferred experience in a healthcare setting
  • Strong call center operational knowledge
  • Detail-oriented
  • Ability to work simultaneously with multiple systems
  • Strong team-building skills
  • Excellent written skills
  • Excellent verbal skills
  • Strong problem-solving skills
  • Ability to Identify Trends
  • Ability to build and maintain internal and external relationships
  • Must be flexible
  • Proven track record of inventory management and account resolution
  • Proven track record managing staff productivity and quality
  • Proven track record of successful process improvement in account resolution
     
    Duties include, but are not limited to:
  • Manage daily activities related to the service center overpayment discrepancy, refund and credit balance resolution functions, ensuring processes are performed effectively and efficiently.
  • Analyze trends in discrepancy coding and work to decrease incoming inventory
  • Assure that verified overpayment discrepancies are refunded timely and accurately.
  • Identify internal and external opportunities (contract language, processes) to facilitate effective operations.
  • Work as a liaison between the overpayment resolution staff and other SSC staff
  • Resolve issues escalated by staff
  • Conduct monthly staff meetings
  • Review each staff member’s productivity on a monthly basis and performing annual evaluations
  • Screen, interview and hire new employees.
  • Arrange training of new employees.
  • Review each staff member’s productivity on a monthly basis and performs annual evaluation.
  • Counsel staff with disciplinary and productivity issues.
  • Resolve issues escalated by overpayment resolutions staff.
  •  Practice and adhere to the “Code of Conduct” philosophy and “Mission Value Statement”
  • Other duties as assigned