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Underpayment Analyst in San Antonio at Parallon

Date Posted: 5/10/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    San Antonio
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    5/10/2019

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.
 
Job Summary – The Underpayment Analyst is responsible for researching and resolving Underpayments.
 


Duties (included but not limited to):

•         Perform and validate discrepancy reason coding of underpayment inventory
•         Pursue additional payment from payers on underpayment discrepancies through various means of communication, such as telephonically, online or via payment package processes.
•         Overcome objections that prevent payment of the claim
•         Gain commitment for payment through concise and factual collection techniques.
•         Communicate trends to management as identified
•         Facilitate correction of non-payment related underpayment discrepancies through I-plan changes or coordination with other departments as needed
•         Identify  and   communicate  trends  to   management,  including  those  that  might  be appropriate for the dispute resolution process
•         Escalate accounts to appropriate individuals at the payer and via SSC management as needed, including accounts with lack of timely payer response
•         Utilize effective documentation standards that support a strong historical record of actions taken on the account.
•         Meet the productivity and quality standards of the organization
•         Complete and comprehend all educational requirements
•         Practice  and  adhere  to  the  “Code  of  Conduct”  philosophy  and  “Mission  and  Value Statement”
•         Other duties as assigned

Job Requirements



KNOWLEDGE, SKILLS & ABILITIES

•         Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.
•         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
•         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

High school diploma or GED required.
 


EXPERIENCE

One year of related experience required.
 
#ParallonBCOM
 
Parallon/HCA is an equal opportunity workforce and no one shall discriminate against any individual with regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity or expression, genetic information or veteran status with respect to any offer, or term or condition, of employment. We make reasonable accommodations to the known physical and mental limitations of qualified individuals with disabilities.

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