Nurse / Manager Job in Nashville, Tennessee / Hospital
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Description
Standard Qualifications: Parallon believes that organizations that continuously learn and improve will thrive. That's why, after more than a decade, Parallon remains 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. The Appeals Manager is responsible for managing all activities related to monitoring and appealing denials received from Third Party Payers. Supervisor - Appeals Director Supervises - Appeals Specialists and Team Leads Duties (included but not limited to): · Manage daily activities related to SSC Appeals function, ensuring processes are performed efficiently and effectively · Analyze trends in insurance denials and work with insurance companies to resolve underlying reasons for denials · Manage recurring coding or clinical documentation issues and correct the underlying causes for errors. · Coordinate with all necessary departments related to contract issues . · Perform Q/A for all Appeals functions · Screen, interview, and hire new employees · Arrange for training of new employees · Review each staff member's productivity on a monthly basis and performing annual evaluations · Counsel staff with disciplinary and productivity issues · Work as a liaison between the Appeals staff and other SSC staff · Resolve issues escalated by Appeals staff · Conduct monthly staff meetings · Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement" · Other duties as assigned #ParallonBCOM
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| Employer: |
HCA
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| Post Date: |
Mar 07, 2019 |
| Profession: |
Administrative and Executive |
| Job Type: |
Exec/Admin |
| Specialty: |
None |
| Location: |
Tennessee - Nashville |
| Job Reference: |
722434 |
| Contact Details: |
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