INTRODUCTION

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Appeals Specialist with Parallon you can be a part of an organization that is devoted to giving back!

NOTE: ELIGIBILITY FOR BENEFITS MAY VARY BY LOCATION.

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Parallon family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Appeals Specialist to help us reach our goals. Unlock your potential!

JOB SUMMARY AND QUALIFICATIONS

Seeking an Appeals Specialist, who will be responsible for performing end-to-end tasks for technical appeals. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you. We want you to apply today!

What you will do in this role:

• Review records for the Appeals team, validating appeal criteria is met.
• Compose technical denial arguments for reconsiderations.
• Identify contract protection to leveraged overturn denials.
• Argue appeals that prevent claim payment and gain commitment for payment.
• Document historical records of action taken on accounts.

What qualifications you will need:

• 1 year of related experience is required

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. 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
Be a part of an organization that invests in you! We are reviewing applications for our Appeals Specialist opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
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

• Review records for the Appeals team, validating appeal criteria is met.
• Compose technical denial arguments for reconsiderations.
• Identify contract protection to leveraged overturn denials.
• Argue appeals that prevent claim payment and gain commitment for payment.
• Document historical records of action taken on accounts