Payment Compliance Analyst in Nashville, TN at Parallon

Date Posted: 4/5/2018

Job Snapshot

Job Description

Parallon believes that organizations that continuously learn and improve will thrive. That’s why after more than a decade Parallon remains 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.

Job Summary – The Payment Compliance Analyst works closely with the Payer Analysis Director to provide financial analysis and operational support for Payment Compliance functions. Assists the Director and VP   of Dispute Resolution with developing and maintaining reporting solutions necessary to support the Dispute Resolution process and Parallon operations, including the development of tools to effectively measure performance.

Duties (included but not limited to):

  • Assists in the development of financial data collection and measurement tools with respect to oversight of the Dispute Resolution process and SSC Payment Compliance teams
  • Assists with preparation of weekly and monthly financial reports as well as ad hoc requests from senior leadership
  • Works with corporate Payment Compliance manager to effectively identify and communicate issues related to Dispute Resolution inventory
  • Facilitate the monthly logging and review of Dispute Resolution inventory reconciliation
  • Prepares explanations of changes in Dispute Resolution inventory results and trends
  • Prepares monthly reports and presentations related to Dispute Resolution inventory
  • Validates Dispute Resolution Inventory submissions from SSCs
  • Tracks disposition and status of legal activity associated with Dispute Resolution Inventory
  • Maintains inventory status of Denial Task Force claim reviews and prepares monthly reporting
  • Assists with field communication, providing updates, and resolving issues
  • Assists with developing, and monitoring adherence to, quality assurance standards
  • Assists manager with implementation and monitoring of project and department action plans
  • Assists with training of report users and development of related educational materials
  • Assists with preparation and coordination of communication and monthly calls with SSCs
  • Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
  • Other duties as assigned

Job Requirements

  • Bachelor’s Degree required.
  • 3-4 years relevant experience.
  • Revenue Cycle/SSC experience preferred.
  • HCA-based system experience preferred.