Payment Compliance Analyst
About the position Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. We are seeking a Payment Compliance Analyst for our team to ensure that we continue to provide all patients with high quality, efficient care. 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.
Responsibilities
- 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
Requirements
- 3-4 years relevant experience
- Revenue Cycle/SSC experience preferred
- HCA-based system experience preferred
Benefits
- Comprehensive medical coverage that covers many common services at no cost or for a low copay
- Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans
- Free counseling services and resources for emotional, physical and financial wellbeing
- 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
- Employee Stock Purchase Plan with 10% off HCA Healthcare stock
- Family support through fertility and family building benefits with Progyny and adoption assistance
- Referral services for child, elder and pet care, home and auto repair, event planning and more
- Consumer discounts through Abenity and Consumer Discounts
- Retirement readiness, rollover assistance services and preferred banking partnerships
- Education assistance (tuition, student loan, certification support, dependent scholarships)
- Colleague recognition program
- Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
- Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income
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