Payment Compliance Analyst

Introduction Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Payment Compliance Analyst with Parallon you can be a part of an organization that is devoted to giving back!

Benefits

Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Work from Home family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Payment Compliance Analyst to help us reach our goals. Unlock your potential! Job Summary and Qualifications The Payment Compliance Analyst works closely with the Payer Analysis Manager to provide financial analysis and operational support for Payment Compliance functions. Assists the Manager, Director and VP of Dispute Resolution with developing and maintaining reporting solutions necessary to support the Dispute Resolution process and Parallon operations, including the development of tools to effectively measure performance. What you will do in this role:

• Assists in the development of financial data collection and measurement tools with respect to oversight of the Dispute Resolution process and SSC Payment Compliance teams
• Assists with preparation of weekly and monthly financial reports as well as ad hoc requests from senior leadership
• Works with corporate Payment Compliance manager to effectively identify and communicate issues related to Dispute Resolution inventory
• Facilitate the monthly logging and review of Dispute Resolution inventory reconciliation
• Prepares explanations of changes in Dispute Resolution inventory results and trends
• Prepares monthly reports and presentations related to Dispute Resolution inventory
• Validates Dispute Resolution Inventory submissions from SSCs
• Tracks disposition and status of legal activity associated with Dispute Resolution Inventory
• Maintains inventory status of Denial Escalation claim reviews and prepares monthly reporting
• Manually validates expected reimbursement on inventory using available contracts and claims billed
• Assists with field communication, providing updates, and resolving issues
• Assists with developing, and monitoring adherence to, quality assurance standards
• Assists manager with implementation and monitoring of project and department action plans
• Assists with training of report users and development of related educational materials
• Assists with preparation and coordination of communication and monthly calls with SSC

What qualifications you will need:

• High School Graduate / GED
• 3-4 years relevant experience
• Revenue Cycle/SSC experience preferred
• HCA-based system experience preferred

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Be a part of an organization that invests in you! We are reviewing applications for our Payment Compliance Analyst opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Apply tot his job Apply To this Job