Payer Analysis 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 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.

Supervisor – Payer Analysis Director (Government)

Supervises – Governmental Logging and Discrepancy Analysis staff

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

 •Screen, interview, and hire new employees

 •Arrange for training of new employees

 •Review each staff member’s productivity on a monthly basis and perform annual evaluations

 •Counsel staff with disciplinary and productivity issues

 •Work as a liaison between the government logging and discrepancy analysis staff and other SSC departments

 •Resolve issues escalated by governmental logging and discrepancy analysis staff

 •Conduct monthly staff meetings

 •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.