Recovery Audit Specalist

Vacancy expired!

Do you want to be a part of a family and not just another employee? Are you looking for a work environment where diversity and inclusion thrive? Submit your application today and find out what it truly means to be a part of a team.

At HCA Healthcare, you have options. You can choose from a variety of benefits to create a customizable plan. You have the ability to enroll in several medical coverage plans including vision and dental. You can even select additional a la carte benefits to meet all your needs. Enroll in our Employee Stock Purchase Plan (ESPP), 401k, flex spending accounts for medical and childcare needs, and participate in our tuition reimbursement and student loan repayment programs.

HCA Healthcare is dedicated to the growth and development of our colleagues. We will provide you the tools and resources you need to succeed in our organization. We are currently looking for an ambitious RAC (Recovery Audit Contractor) Specialist (non-certified) to help us reach our goals. Unlock your potential here!

As an RAC (Recovery Audit Contractor) Specialist (non-certified), you will be responsible for performing aily appeal audit follow- up, monitoring RAC audit trends and issues and updated financial transactions.

What you will do in this role:

Review medical records and other documentation for accuracy and professional appearance, and send RAC appeal package accordingly.

Monitor RAC takebacks and appeal status by running appropriate reports and contacting insurance companies to resolve claims denied for clinical reasons

Identify problem claims and trends and escalate as appropriate

Update the RRT and any other systems (Artiva, SSD Web Tools) to identify actions taken on the account

Work with RAC Agencies to secure payment on account balances outstanding

Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”

Other duties as assigned

Qualifications

EDUCATION High school diploma or GED Preferred.

EXPERIENCE Minimum one year of experience in related area required.Experience with Medicare and Medicaid remits – HCPC codes – Ubs - appeals

Parallon is an industry leader in revenue cycle services. We partner with over 650 hospitals and 2,400 physician practices nation-wide. Our parent company, HCA Healthcare has been consistently named a World’s Most Ethical Company by Ethisphere and is ranked in the Fortune 100.

We are a family 270,000 strong! Our Talent Acquisition team is reviewing applications immediately. Highly qualified candidates will be promptly contacted by our hiring managers for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Notice

Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clickinghere.

Vacancy expired!