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Virtual Prebill Analyst in Norcross at Parallon

Date Posted: 5/16/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Norcross
  • Job Type:
  • Experience:
    At least 1 year(s)
  • Date Posted:
    5/16/2019

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.
 
 We are looking for a dynamic candidate to be part of our team.  We offer excellent benefit packages, including 401K, bonus potential, tuition reimbursement, medical and dental plans, flexible spending plans, long-term/ short -term disability, and generous paid time off!
 
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
  • Work assigned accounts in eRequest to resolve outstanding issues
  • Report insurance denial trends identified during daily operational assignments
  • Work prebill accounts imported into the PDU tool efficiently and effectively on a daily basis to resolve accounts with no auth numbers and ALOS vs. authorized days variances
  • Document actions taken on the account clearly and concisely
  • Identify problem accounts and escalate as appropriate
  • Establish and maintain relationships with all customers

 
We are in need of a prebill denials analyst, that will review post discharge prebill accounts that do not have an authorization on file and/or other discrepancies identified that will result in the account being denied by the payor. The probill denials analyst will communicate with third party payors to resolve discrepancies prior to billing. You need the following to be our top candidate:
  • High school diploma or GED required
  • Minimum of 1 year of related experience in appeals, denials, managed care or precertification preferred