Payment Compliance Analyst

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 Payment Compliance Analyst today with Parallon.

Job Summary and Qualifications

The Payment Compliance Analyst works closely with the Payer Analysis Director to provide financial analysis and operational support for Payment Compliance functions. Assists the 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.

Supervisor – Payer Analysis Operations/Systems Manager

Supervises – N/A

Duties (included but not limited to):

• 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 Task Force claim reviews and prepares monthly reporting

• 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 SSCs

• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”

• Other duties as assigned

Knowledge, Skills & Abilities

• Communication - communicates clearly and concisely, verbally and in writing

• Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations

• Interpersonal skills- able to work effectively with other employees, patients and external parties

• PC skills - demonstrates proficiency in Microsoft Office applications, SQL, EMR and other applications as required

• Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems

• Basic skills- able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately

• Financial analysis skills- knowledge of research techniques sufficient to collect and interpret data. Knowledge of descriptive statistics to analyze statistical data and prepare estimates. Knowledge of legal and fiscal requirements and regulations. Skill in interpreting and analyzing data. Skill in examining documents for correctness and interpreting their accuracy.

EXPERIENCE

• 3-4 years relevant experience.

• Revenue Cycle/SSC experience preferred.

• HCA-based system experience preferred

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 benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services

• Wellbeing support, including free counseling and referral services

• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence

• 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

• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing

• 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

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

Parallon (https://parallon.com/) 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.

"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."- 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 Payment Compliance Analyst 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.