Qureos Mentor

Parallon

<div>Do you have the career opportunities as an Infection Data Abstractor you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nation's leading provider of healthcare services, HCA Healthcare.<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
<h5 class="jobSectionHeader">As a work from home Infection Data Abstractor II, you will be responsible for abstraction of data for complex infectious disease data.
What you will do in this role:
<ul><li>Completes abstraction process for assigned facility(ies), including abstraction of cases into the required system (e.g., COMET, TheraDoc, Digital Innovations, NHSN, etc.).
</li><li>Responsible for reviewing medical records to abstract information according to the standards of various regulatory and accreditation agencies (e.g., CMS, TJC, NHSN, etc.).
</li><li>Performs timely abstraction to ensure compliance with standards.
</li><li>Completes edit checks and makes appropriate changes on a timely basis.
</li><li>Follow standards and CSG/Parallon instructions to abstract all reportable cases.
</li><li>Assist with case follow-up as requested.
</li><li>Attend educational activities as approved by Manager or Director.
</li><li>Maintain clinical knowledge of various abstracted measures.</li><li>
Communicate in a timely manner with manager to achieve measure compliance.</li><li>
Submit data timely through the appropriate reporting system.</li><li>
Resolve errors resulting in the rejection of records from the data entry system.</li></ul>
What qualifications you will need:
<ul><li>2+ years of experience in Health Information Management; Coding, Nursing, and/or Health Registry abstraction experience required</li><li>
Completion of a certified coding or nursing program strongly preferred</li><li>
RHIT, RHIA, CCS certification strongly preferred</li><li>
LVN or RN preferred</li><li>
Undergraduate degree in a healthcare related field required. Extensive experience (5 years or more) may be considered in lieu of formal education.</li></ul>
Benefits</h5>
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
&quot;
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&rsquo;s Most Ethical Companies&reg; 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.
&quot;
&quot;Bricks and mortar do not make a hospital. People do.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Infection Data Abstractor opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
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.</div>

Infection Data Abstractor

<div>Do you have the career opportunities as an Executive Assistant you want with your current employer? We have an exciting opportunity for you to join Parallon, which is part of the nation's leading provider of healthcare services, HCA Healthcare.<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
<h5 class="jobSectionHeader">As the Executive Assistant, you are responsible for supporting the Executive Shared Services Center management team with administrative duties as assigned.
In this role, you will:
<ul><li>Perform complex administrative duties including responding for executive when he/she is unavailable, composing correspondence, and coordinating resources across SSC.
</li><li>Handle various administrative details with initiative and good judgment.
</li><li>Provide general administrative support including typing, answering multiple phone lines, indexing and filing documents, and making copies
</li><li>Answer inquiries and/or refer callers/visitors to appropriate person/department.
</li><li>Gather information and develop summaries as requested.</li><li>
Develop and implement office procedures related to coordination of interoffice communication, records and systems.</li></ul>
What qualifications you will need:
<ul><li>High school diploma or GED is preferred. Associate or bachelor&rsquo;s degree in business administration is preferred.</li><li>
Four to five years of administrative experience is required. Relevant education may substitute experience requirement.</li></ul>
Benefits</h5>
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
&quot;
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&rsquo;s Most Ethical Companies&reg; 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.
&quot;
&quot;Bricks and mortar do not make a hospital. People do.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Executive Assistant opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
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.</div>

Executive Assistant

<div><h4 class="jobSectionHeader">This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).</h4>
Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Implementation Analyst
Job Summary and Qualifications<h5 class="jobSectionHeader">
The Implementation Analyst is actively engaged in end-user interaction, workflow analysis, design, build, training, and remote support to implement the Physician Practice Management System (PPMS) functionality and Parallon Physician Service Center business processes and compliance standards. The Analyst consistently executes the Parallon implementation approach, including risk and issue identification, mitigation and resolution, meeting remotely with end users, and acts as a primary contact for system users during the Implementation phase of the project. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you. We want you to apply today!
What you will do in this role:<ul><li> 
Assists the Implementation Management and primary Implementation Analyst in conducting the introductory meeting with practice staff and physicians to introduce the project and educate the practice about the implementation process and expectations</li><li>
Works with Service Center and Practice resources to understand workflow and business processes to successfully implement the Parallon system/process solution for the client</li><li>
Executes implementation tasks for assigned practices following the Parallon standard implementation toolkit. Provides control and status of implementation tasks according to project schedule.</li><li>
Conducts client-specific workflow analysis and design, documenting current state workflows and assisting the client in making future-state workflow decisions based on the successful use of the application and Parallon processes</li><li>
Develops training plan and delivers training to client staff and physicians, following the specified Parallon training standards</li><li>
Functions as primary liaison between the client and support departments/teams</li><li>
Provides regular status reports to key Program Management and end users</li><li>
Drives resolution of end user issues and works with all parties to prioritize issues and offer solutions</li><li>
Trains and supports appropriate use of the application, utilizing expert knowledge of the physician revenue cycle and Parallon processes</li><li>
Works with physicians, business staff, and other clients to understand and research customization requests</li><li>
Provides remote go live support</li><li>
Coordinates the transition of the practice to support model following agreed upon post go live support period to insure smooth transition</li><li>
Establishes and monitors key success criteria and helps to collect return-on-investment metrics</li><li>
Adheres to Parallon on-boarding activities, including train-the-trainer, and competency assessments</li><li>
Attends regularly scheduled meetings with Implementation team including conference meetings and remote group meetings.</li></ul>
What qualifications you will need:<ul><li>
Bachelor&rsquo;s degree in Business or related field required; equivalent work experience may substitute education requirements</li><li>
Minimum 1-2 years related experience preferred; relevant education may substitute for the experience requirement</li></ul>
Benefits</h5>
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
&quot;
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&rsquo;s Most Ethical Companies&reg; 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.
&quot; 
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder 
If you find this opportunity compelling, we encourage you to apply for our Implementation Analyst opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!
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.</div>

Implementation Analyst

<div><h5 class="jobSectionHeader">Introduction</h5>
 Schedule: Monday - Friday; 8:30am to 5pm.
This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Patient Access Central Unit Representative today with Parallon.<h5 class="jobSectionHeader">
Benefits</h5>
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
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.</li><li>
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.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>
Consumer discounts through Abenity and Consumer Discounts 
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>
Colleague recognition program 
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul> 
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
Come join our team as a(an) Patient Access Central Unit Representative. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
Seeking a Patient Access Central Unit Representative who will be responsible for timely and accurate processes associated with some or all of the following:
Pre-registration
Insurance Verification
Pre-Certification
Insurance Notification
We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you. We want you to apply today!
What will you do in this role:<ul><li>
Perform pre-registration and insurance verification within 3-5 days prior to date of service for both inpatient and outpatient services.</li><li>
Follow scripted benefits verification pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information.
</li><li>Perform electronic insurance eligibility confirmation when applicable and document results.</li><li>
Complete Medicare Secondary Payor Questionnaire as applicable for retention in imaging system (i.e OnBase).</li><li>
Calculate patient cost share and be prepared to collect via phone or make payment arrangement.
</li><li>Contact patient via phone to confirm or obtain missing demographic information, quote/collect patient cost share, and instruct patient on where to present at time of appointment.</li><li>
Receive and record payments from patient services scheduled.
</li><li>Utilize appropriate communication system to facilitate communication with hospital gatekeeper.
</li><li>Contact physician to resolve issue regarding prior authorization or referral forms.
</li><li>Perform insurance verification and pre-certification follow up for prior day&rsquo;s walk in admissions/registrations and account status changes by assigned facility.
</li></ul>What qualifications you will need:<ul><li>
High school diploma or GED preferred
</li><li>1 year of related experience required</li></ul>
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&rsquo;s Most Ethical Companies&reg; 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. 
&quot;The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Patient Access Central Unit Representative opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
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.</div>

Patient Access Central Unit Representative

<div>This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: EDI Enrollment Specialist<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5><h5 class="jobSectionHeader">
Seeking an Electronic Data Interchange (EDI) Enrollment Specialist, who is responsible for applying a fundamental knowledge of healthcare billing practices and procedures related to enrolling providers electronically for claims submission, remittance, and funds transfer. In addition, this team member is responsible for identifying, creating, monitoring, and releasing claim hold rules. This job has regular contact with internal and external customers and requires regular outreach to payers. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you. We want you to apply today!
What you will do in this role:<ul><li>
Prepare and submit applications to configure Electronic Data Interchange (EDI) claims and Electronic Remittance Advice (ERA) through clearinghouse
</li><li>Prepare and submit applications to configure Electronic Funds Transfer (EFT) with payers
</li><li>Initiate telephone calls to payers with respect to provider enrollment and claim errors, utilizing proper customer service protocol
</li><li>Review correspondence received and perform appropriate action to resolve
</li><li>Manage billing hold rules including identifying, creating, monitoring, and releasing</li><li>
Configure providers in billing system
</li><li>Work as a liaison between Provider Enrollment department and other operational departments Participate in process to establish payer-specific billing edits
</li><li>Meet and maintain established departmental performance metrics for production and quality Maintain working knowledge of workflow, systems, and tools used in the department</li></ul>
What qualifications you will need:
<ul><li>High school diploma or GED preferred</li><li>
Minimum 1 year related healthcare experience preferred, such as EDI, ERA, and EFT configuration, professional medical billing, insurance follow-up, or accounts receivable follow-up. Relevant education may substitute experience requirement</li></ul>
Benefits</h5>
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
&quot;
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&rsquo;s Most Ethical Companies&reg; 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.
&quot; 
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder 
If you find this opportunity compelling, we encourage you to apply for our EDI Enrollment Specialist opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!
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.</div>

EDI Enrollment Specialist

<div>This position is incentive eligible. 
 
 
<h5 class="jobSectionHeader">Introduction</h5>
Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Collections Manager with Parallon, you can be a part of an organization that is devoted to giving back!<h5 class="jobSectionHeader">
Benefits</h5>
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
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.</li><li>
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.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>
Consumer discounts through Abenity and Consumer Discounts 
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>
Colleague recognition program 
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul>
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 Parallon family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Collections Manager to help us reach our goals. Unlock your potential!<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5> 
As the Collections Manager, you will be responsible for assisting the Director in the daily operations of the Collections functions. You are also responsible for guiding the staff in their day-to-day responsibilities, which include mentoring and training them as needed. 
In this role, you will: 
<ul><li>
Identify staffing needs and communicate those needs to the Collections Director</li><li>
Review and monitor collection reporting (e.g. EDW Trended Aging Report)
</li><li>Monitor pool inventories to ensure accounts are being worked and resolved in a timely manner.
</li><li>Review and act on high-dollar accounts as directed.
</li><li>Assure productivity of each staff member
</li><li>Review each staff member&rsquo;s productivity and QA monthly and perform annual evaluations</li><li>
Counsel staff with disciplinary, productivity and/or QA issues
</li><li>Work as a liaison between the Collections staff and other SSC staff
</li><li>Resolve issues escalated by patients, Collections staff and other departments</li></ul> 
What qualifications you will need: 
<ul><li>
Bachelor's degree in business or related field required. Equivalent work experience may substitute education requirements</li><li>
Minimum three years&rsquo; experience in related area with two of these years being healthcare management experience OR completion of the Parallon Manager Trainee Program.</li></ul> 
&quot;
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&rsquo;s Most Ethical Companies&reg; 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.
&quot; 
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our Collections Manager 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.
PAR-AFHP</div>

Collections Manager

<div>Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Clinical Denials Coding Review Specialist with Parallon you can be a part of an organization that is devoted to giving back!
This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
<h5 class="jobSectionHeader">Job Summary and Qualifications</h5>
As a work from home Clinical Denials Coding Review Specialist, you will be responsible for applying correct coding guidelines and payor requirements as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims. This job requires regular outreach to payors and Practices.
What you will do in this role:<ul><li>
Triage incoming inventory, validating appeal criteria is met in compliance with departmental policies and procedures
</li><li>Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate
</li><li>Compose technical denial arguments for reconsideration, including both written and telephonically
</li><li>Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument
</li><li>Identify problem accounts/processes/trends and escalate as appropriate
</li><li>Utilize effective documentation standards that support a strong historical record of actions taken on the account
</li><li>Post denials, post or correct contractual adjustments, and post other non-cash related Explanation of Benefits (EOB) information
</li></ul>Requirements:<ul><li>
Minimum two years related experience in accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and/or cash application preferred</li><li>
Prior experience reading and interpreting Explanation of Benefits (EOB) required</li><li>
Coding certification through AHIMA or AAPC strongly preferred</li></ul>
<h5 class="jobSectionHeader">Benefits</h5>
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
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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&rsquo;s Most Ethical Companies&reg; 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.
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&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our Clinical Denials Coding Review Specialist 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.</div>

Clinical Denials Coding Review Specialist

Join Parallon and explore 12   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.