location_on Orange Park, FL, United States
schedule Full-time • Work From Home
business_center Directors and Managers find_in_page Job ID: 08948-194187
SHIFT: Work From Home
Do you want to be a part of a family and not just another employee? Are you looking for a work environment where diversity and inclusion thrive? Submit your application today and find out what it truly means to be a part of a team.
Parallon is an industry leader in revenue cycle services. We partner with over 650 hospitals and 2,400 physician practices nation-wide. Our parent company, HCA Healthcare has been consistently named a World’s Most Ethical Company by Ethisphere and is ranked in the Fortune 100.
At HCA Healthcare, you have options. You can choose from a variety of benefits to create a customizable plan. You have the ability to enroll in several medical coverage plans including vision and dental. You can even select additional a la carte benefits to meet all your needs. Enroll in our Employee Stock Purchase Plan (ESPP), 401k, flex spending accounts for medical and childcare needs, and participate in our tuition reimbursement and student loan repayment programs.
As an Appeals Manager, you will be responsible for managing all activities related to monitoring and appealing denials received from Third Party Payers.
What you will do in this role:
Manage daily activities and inventory related to SSC Appeals function, ensuring processes are performed accurately, efficiently and effectively within all established operational and SOX guidelines.
Analyze trends in insurance denials and work with insurance companies to resolve underlying reasons for denials
Manage recurring coding or clinical documentation issues and correct the underlying causes for errors.
Coordinate with all necessary departments related to contract issues.
Perform QA for all processes within Appeals
Screen, interview, and hire new employees
Arrange for training of new employees
Review each staff member’s productivity on a monthly basis and performing annual evaluations
- Bachelor’s Degree in Business or related field required.
- Minimum three years’ experience in related area (working with Third Party Payers within a healthcare setting), with two of these years being healthcare management experience OR completion of the Parallon Manager Trainee Program.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here.
For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.