HCA, Hospital Corporation of America Denial Resolution Specialist - Austin Physician Service Center in Austin, Texas
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 services in the areas of revenue cycle, purchasing, supply chain, technology, workforce management and consulting.
Parallon's purpose is simple. We serve and enable those who care for and improve human life in their communities.
Duties Include but are Not Limited to: * Review, identify and resolve payer denials. * Prepare payer appeals for denied claims. * Track and follow up on requests for refunds or recoupments in accordance with payer requirements. * Practices and adheres to the "Code of Conduct" philosophy and "Mission and Value Statement." * Perform other duties as assigned.
Qualifications * To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Experience working in a Production Environment. * Good Attendance history in current/past positions * Clear understanding and working knowledge of payer denials and appeals process. * Clear understanding of Healthcare claims processing. * Ability to work independently as well as in a cross-functional team environment by collaborating with others and sharing tools, skills, and knowledge. * Solid problem-solving and analysis skills that demonstrate resourcefulness and attention to detail.
Education * High school diploma or equivalent.
Experience * A minimum of one year medical office experience and/or collection experience is required. * A comprehensive knowledge of insurance is desired, related experience and/or training.
Title: Denial Resolution Specialist - Austin Physician Service Center
Location: Texas-Austin-St. David%27s Medical Center
Requisition ID: 25539-116593