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Job Details

Clinical Appeals Specialist

Company name
Parallon Business Solutions

Location
Irving, TX

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Do you have an analytical as well as investigative mindset? Do you want to pair that with your knowledge of the healthcare field? Parallon is seeking candidates with revenue cycle/patient financial services experience to be a collector in our Clinical Appeals department.

Parallon's Mission:  We serve and enable those who care for and improve human life in their communities.

Parallon, a division of HCA, is an industry-leading provider of patient financial and revenue cycle services to acute care providers across the United States. We are dedicated to our values and passionate about finding future leaders for our fast-growing divisions in the Dallas/Fort Worth area. Although we are the largest healthcare provider in the world and experts and leaders in revenue cycle services, we maintain a people-first culture and sense of community.  

As an Appeals Collector, you would be responsible for performing follow up on all appeals submitted to the payer for timely payment and resolution.

Duties include, but are not limited to:

Pursue additional payment on open appeals through various means of communication, such as telephonically, online or via payment package processes with payers and patients

Overcome objections that prevent payment of the claim

Gain commitment for payment through concise and factual collection techniques

Escalate accounts to appropriate individuals at the payer and via SSC management as needed, including accounts with lack of timely payer response

Job Requirements

Knowledge, Skills & Abilities

Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.

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 and others as required

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

Technical skills - Professional presentation skills needed to represent facilities in legal issues.

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

Clinical skills – ability to read and interpret medical records a plus

Adaptability - adapt well in a fast-paced changing environment

Education

High school diploma or GED required 

Experience

Minimum one year related experience required, preferably in healthcare

Relevant education may substitute experience requirement

Certificates/License

– N/A

At Parallon, every employee is a valued member of our organization. You can expect to receive competitive salary, ongoing professional development, comprehensive benefits package, performance bonuses and more!

Check us out or follow us on LinkedIn at https://www.linkedin.com/company/parallon-business-solutions

#ParallonBCOM

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Company info

Parallon Business Solutions
Website : http://parallon.com

Company Profile
Parallon’s roots are in the hallways of some of America’s top-performing hospitals and our commitment is to bring the expertise we have gained as operators to help you drive results. Parallon is dedicated to helping hospitals and health systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future.

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