Virtual Prebill Denials Analyst Part Time in Norcross, GA at Parallon

Date Posted: 8/29/2018

Job Snapshot

  • Employee Type:
    Part-Time
  • Location:
    Norcross, GA
  • Job Type:
  • Experience:
    At least 1 year(s)
  • Date Posted:
    8/29/2018

Job Description

Parallon, a leading health care company is offering a great opportunity. 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

Job Requirements:
 
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