Overpayments Manager in Largo, FL at Parallon

Date Posted: 6/26/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Largo, FL
  • Job Type:
    Management
  • Experience:
    At least 3 year(s)
  • Date Posted:
    6/26/2018

Job Description

The Company: Parallon Business Solutions is a subsidiary of Hospital Corporation of America and HCA West Florida. We provide a variety of services including revenue cycle, supply chain management,and workforce management to 1,400 hospitals and 11,000 non-acute care providers, including ambulatory surgery centers, physician practices and alternate care sites. We have been voted one of the top employers in Florida for 8 years in a row, and are known for taking the best care of clients and employees alike.

 

● Our culture fosters an environment of continuous growth and professional development.

 

● Parallon was named a “Top 100 Company to Watch for Remote Jobs in 2016” by FlexJobs.

 

● We believe in rewarding our employees with a healthy work/life experience, our employees are rewarded with comprehensive health and wellness benefits, financial and retirement planning support, and time away from work options.

 

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

 

Supervisor:  Payment Resolution Director

 

Supervises –

Overpayment Resolution Staff

 

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.

 

EDUCATION

Bachelor’s Degree in Business or related field required. Equivalent work experience may substitute education requirements

 

EXPERIENCE

Minimum three years’ experience in related area with two of these years being healthcare management experience OR completion of the Parallon Manager Trainee Program.

 

CERTIFICATE/LICENSE -
N/A

 

PHYSICAL DEMANDS/WORKING CONDITIONS

Requires prolonged sitting/standing, some bending, stooping, walking and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports or other information. Requires lifting papers/boxes and pushing/pulling up to 25 pounds occasionally. Work is performed in an office environment or hospital setting. Work may be stressful at times. Contact may involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations.