Senior Appeals Analyst, Virtual

Are you looking for a work environment where diversity and inclusion thrive? Submit your application with HCA Healthcare today and find out what it truly means to be a part of a team.We are committed to providing our colleagues with the support they need. We offer an array of medical, dental, and vision packages as well as several add-on perks to make your benefits package truly customizable to you. Some of our unique benefits we offer part-time and full-time employees include:Student Loan RepaymentTuition Reimbursement/Assistance Programs401k (100% annual match - 3%-9% of pay based on years of service)Identity Theft Protection discountsAuto, Home, and Life Insurance optionsAdoption AssistanceEmployee Stock Purchase Program (ESPP) We value your contributions. Our employee recognition programs encourage our teams to raise the bar. Come be a part of the change! As a Senior Appeals Analyst you will research and resolve high dollar technical and top pdollar clinical appeals through concise understanding of payer contract language and clinical or technical justification. Position requires individuals with high mathematical acumen, ability to access and assimilate data, articulate a strong case, confidence, and strong persuasion skill set. Candidate will demonstrate ability to grow strategic payer relationships and obtain understanding of payer system to navigate through the appeals process. Critical thinking skills are necessary, as well as ability to see trends that require escalation to the Payment Compliance Director. In this role you will:Review technical and clinical denial arguments for reconsideration on top dollar accounts, including both written and telephonically through resolution processIdentify coding or clinical documentation issues and work to correct the errors in a timely mannerIdentify contract protection that can be leveraged to overturn denials. Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argumentIdentify problem accounts/processes/trends and escalate as appropriateUtilize effective documentation standards that support a strong historical record of actions taken on the accountIdentifies and communicates contract interpretation issues and language discrepancies to leadership as appropriateIdentifies Payer company trends and communicates trends to supervisor for further action/escalationServes as a subject matter expert in payer appeals resolution process Qualifications: Bachelor''s degree required Master''s degree preferred Two years of related experience required 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 dedicated to ensuring our patients have the best experience even after they leave our facilities.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 actively reviewing applications. Highly qualified candidates will be promptly contacted for interviews. Submit your application and help us raise the bar in patient care!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 pany Description: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.

Created: 2025-10-04