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Payer Analysis Manager Government Logging in Nashville at Parallon

Date Posted: 5/28/2019

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.
The Payer Analysis Manager is responsible for managing all activities related to Logging, which includes verifying the accuracy of calculated discounts and analyzing discrepancies to determine root causes. 


Duties (included but not limited to):
  • Manage activities related to the SSC government logging and discrepancy analysis functions.
  • Ensure Logging processes are performed efficiently and effectively including: 



  • Monitoring and resolution of unpaid claims and month-end governmental reports 
  • Governmental discrepancy analysis and resolution
  • Batch report corrections
  • Medicare Bad Debt management 

  • Perform or review Q/A for all key processes within government logging and discrepancy analysis
  • Work as a liaison between the government logging and discrepancy analysis staff and other SSC departments 



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.