Underpayment Validation Specialist in Richmond, VA at Parallon

Date Posted: 6/6/2018

Job Snapshot

Job Description

Parallon Business Performance Group has the following opportunity available with the Richmond Shared Services Center in the Boulders.  The Richmond Shared Services Center is located at 7300 Beaufont Springs Drive, Richmond, Virginia.  This is a Full Time opportunity, Monday through Friday from, 8:30am – 5:00pm.
Underpayment Validation Specialist
The Underpayment Validation Specialist (In House Title: Underpayment Analyst) is responsible for researching and resolving Underpayments.  You will work directly with insurance contracts to determine what services have true underpayment discrepancy and discover the root cause of the discrepancy. 
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 (i.e., - telephone, online or payment 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
We offer a convenient location, free parking, training support, competitive compensation, and excellent benefits that include several insurance packages to choose from, paid time off for vacation, sick leave and holidays, company matching 401K.

Job Requirements

  • High school diploma or GED required

  • One year of related experience required
  • Experience working with insurance contracts preferred
  • Strong written and verbal communications skills
  • High level of attention to detail
  • Experience utilizing multiple systems
  • Experience reading reports
  • Experience with Microsoft Excel

Parallon is an Equal Opportunity Employer (EOE), minority/Female/Veteran/Disabled, offering a great work environment, challenging career opportunities, and competitive compensation.
Parallon is an affiliate of Hospital Corporation of America (HCA Holdings, Inc.) and is a leading provider of healthcare business and operational services.  Parallon supports healthcare providers in the areas of revenue cycle (billing, collections, denial management), technology, patient registration, insurance verification, and health information management.