Payer Analysis Managr - HOU in Houston, TX at Parallon

Date Posted: 8/13/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Houston, TX
  • Job Type:
  • Experience:
    At least 3 year(s)
  • Date Posted:
    8/13/2018

Job Description

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.
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