VRM Deficiency Management Team Lead

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) VRM Deficiency Management Team Lead with Parallon you can be a part of an organization that is devoted to giving back!

Job Summary and Qualifications

The Operations Lead is responsible for day‐to‐day operational activities as it relates to queue management in Horizon Patient Folder (HPF), McKesson Patient Folder (MPF), EPIC, Cerner, and Expanse for deficiency management. The Lead prepares and provides deficiency management specific education based on audit outcomes and trends. The Lead also assists the VRM Manager with vendor management including monitoring processes and services for improvement, quality, trending/analyzing data, creating and presenting education, answering deficiency management questions, and account follow up/resolution.

What you will do in this role:

• Assists in managing analysis vendor daily workflow (e.g., work queues/worklists, turnaround times, dashboards, and quality)

• Actively participates in the review and improvement of processes and services

• Routinely updates the VRM Operations Manager on work accomplishments, problems, progress in mastering tasks and work processes, and individual training needs

• Supports the VRM Operations Manager in quality control monitoring and reporting

• Aids in vendor training of new systems or work queues

• Assists with communicating with Vendor team on workflow and/or process changes

• Reviews and updates dailyCAT files or PBIX Downloads for internal tracking and review on the SharePoint.

• Additionally assists with Month end processes if indicated by the financial analyst or leadership.

• Assists with review of vendor unmatched CAT details and reports accordingly working with technical teams for resolution as needed.

• Loads worked vendor files into PBIX’s and refreshes accordingly troubleshooting any errors and working with technical resources as needed.

• Responds to vendor clarifications on the SharePoint or escalates/coordinates with other teams as necessary.

• Promptly reports issues or trends to the Operations Manager

• Analyzes weekly/monthly VRM Error Log data to identify trends by vendor analyst that need to be addressed

• Prepares the VRM slide deck from the VRM Error log data to report out to the field quarterly

• Transfers HSC VRM error log data into VRM's Error Log, sends accounts to the vendor for RCA/AP responses, and documents returned RCA/AP in the log upon receipt

• Routes VRM Error Log appeals and appeal responses across HSC and Vendor Teams

• Collates and presents quality trends and findings from the VRM Error Log to the VRM management team, Vendor teams, and Parallon stakeholders

• Monitors and ensures vendor staff adhere with guidelines, policies and Rules and Regulations

• Performs operational reviews of records as needed

• Monitors and serves as the liaison of information from the Parallon HIM back-office staff and the vendor, including but not limited to the error log, action plans, education, and escalations

• Assists with maintenance of the Analysis SharePoint site

• Communicates as appropriate with the vendor staff and Parallon HIM back-office staff to ensure proper account resolution

• Answers deficiency management process questions from vendors

• Prepares vendor agendas and facilitates weekly vendor meeting Leads projects as requested

• Maintains good working relationships with the analysis vendor team

• Completes all company educational requirements

• Practices and adheres to the “Code of Conduct” philosophy and the “Mission and Value Statement”

• Other duties as assigned

Qualifications:

• High School diploma or equivalency preferred

• Minimum of 1 year of Health Information Management (HIM) experience required

• Experience in deficiency management preferred

• Prior supervisory 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.

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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’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.

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"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 VRM Deficiency Management Team Lead 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.