Senior Collections Analyst

Job Summary and Qualifications

The Senior Insurance Collections Analyst is responsible for resolving claim delays from various payer products, identifying problem accounts, process and trends, and escalating as appropriate.

What You Will Do in This Role

• Resolve claim processing delays from various payer products including HMO, PPO, Medicaid, Medicare, Auto and Workers’ Compensation.
• Effectively utilize ERA payment information to identify trends and make recommendations.
• Utilize various data sources to drive decisions.
• Identify contract protection that can be leveraged when disputing delays in payment.
• Work with vendors and other organizations when needed to resolve open accounts receivables.
• Articulate any payment delays to representatives from healthcare payer companies and government agencies.
• Contact payer companies via phone or correspondence and initiate request for payment.
• Escalate Payer for lack of response and/or lack of payment within Payer organization as appropriate.
• Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective argument.
• Identify problem accounts/processes/trends and escalate as appropriate.
• Utilize effective documentation standards that support a strong historical record of actions taken on the account.
• Identifies Payer trends and communicates trends to supervisors for further action/escalation.

Qualifications

• Bachelor’s Degree in Business or related field required.
• Relevant work experience may substitute degree requirements.
• Two years of related 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

Note

Learn More About Employee Benefits

Note: Eligibility for benefits may vary by location.

About Parallon

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.

About HCA Healthcare

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.

"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

If you find this opportunity compelling, we encourage you to apply for our Senior Collections 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.