Financial Analyst Payer Analysis

16 Jul 2019
18 Jul 2019
Contract type
Full time
SHIFT: No Weekends

SCHEDULE: Full–time

Parallon believes that organizations that continuously learn and improve will thrive. That?s why after more than a decade we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry?s leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.

Job Summary ? Researches and resolves trended payer analysis inventory including net A/R, government credit balances, and trended government discrepancy inventory. Position requires individuals with high mathematical acumen, ability to access and assimilate data, articulate a strong case, confidence, and strong persuasion skill set. Results oriented individual will be required to work through various options available to liquidate the most difficult and trended payment discrepancies. Candidate will demonstrate ability to grow strategic payer relationships and obtain understanding of payer systems to navigate through claims processing centers, specifically Medicare and Medicaid payers. Critical thinking skills are necessary, as well as ability to see trends that require escalation to the Payer Analysis Director.

Duties (included but not limited to):
? Analyzes accounts/reports to identify contractual discrepancies.
? Resolves misstated balances from various payers including governmental and non–government based payers.
? Oversees daily reconciliations of accounts to ensure inventory adheres to policy standards.
? Identifies trends driving inventory and practices proactive interdepartmental communication for mass resolution.
? Tracking and following up on trended items to ensure resolution.
? Assist with month end reporting
? Serves as subject matter expert on Accounts Receivable/Payer Analysis Processes
? Identifies Payer company trends and communicates trends to supervisor for further action/escalation.
? Proficient in BOBJ and Excel
? Practices and adheres to the ?Code of Conduct? philosophy and ?Mission and Value Statement?
? Other duties as assigned
? Communication – communicates clearly and concisely, verbally and in writing.
? Persistence ? comfortable pursuing, rebutting and escalating issues as appropriate.
? Goal–oriented ? holds him/herself accountable to achieving shared and personal goals.
? 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 high proficiency in Microsoft Office applications and others as required.
? Policies & Procedures – demonstrates knowledge and understanding of organizational policies, procedures and systems.
? Mathematical skills – able to perform advanced mathematical calculations and balance and reconcile figures
? Writing skills ?advanced writing skills with ability to present a compelling argument, punctuate properly, spell correctly and transcribe accurately.

? Bachelor?s degree required. Relevant experience may substitute degree requirement
? Master?s degree preferred.

? Two years of related experience preferred.

Parallon/HCA is an equal opportunity workforce and no one shall discriminate against any individual with regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity or expression, genetic information or veteran status with respect to any offer, or term or condition, of employment. We make reasonable accommodations to the known physical and mental limitations of qualified individuals with disabilities.