Overpayment Resolution Manager in Nashville at Parallon

Date Posted: 11/10/2018

Job Snapshot

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Job Description

The Overpayment Resolution Manager is responsible for managing all activities related to analyses and resolution of overpayment discrepancies, credit balances and the refund process. 

Duties (included but not limited to): 
• Manage daily activities related to SSC 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 and Value Statement” 
• Other duties as assigned

Job Requirements

KNOWLEDGE, SKILLS & ABILITIES• Organization - proactively prioritizes needs and effectively manages resources
• Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately. The ability to communicate with staff, Parallon Management, Division and Group Executives
• Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
• Interpersonal skills - able to work effectively with other employees, patients and external parties
• PC skills - demonstrates proficiency in Microsoft Office applications and others as required
• Leadership - guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services
• Tactical execution - oversees the development, deployment and direction of complex programs and processes
• Project Management - assesses work activities and allocates resources appropriately
• Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
• Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes, have ability to work quickly and accurately in a fast-paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player, adaptability, analytical and problem solving ability and attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.

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.
Client satisfaction experience preferred.
Inventory management experience preferred.
Management of staff or clients preferred. 

The manager will be required to work on the 5th of every month, regardless of the day of the week on which the 5th falls. If the 6th-8th of the month falls on a weekend, management coverage is required to respond to month-end related inquiries from hospitals.