HCA Nashville , TN 37201
Posted 6 days ago
Introduction
Executives thrive with us! HCA Healthcare is one of the nation's leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for a Physician Advisor Coordinator WFH for our Work from Home team where excellence creates excellence.
Benefits
Work from Home, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
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.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
HCA Healthcare has expanded our influence across the healthcare industry by investing $3.5 billion in capital improvements in recent years. Do you want to be an influencer in healthcare? Apply for our Physician Advisor Coordinator WFH role today!
Job Summary and Qualifications
The Physician Advisor Coordinator will lead a team of Coordinators for the purposes of ensuring Physician Advisors peer to peer work efforts with external health plans. This individual will partner with multiple enterprise teams such as Case Management, Corporate Utilization Review Services (URS) team, Pre-bill Denial Units (PDU), and on Authorization and Medical Necessity Denials. Daily interaction among senior leadership, external payers, auditors and the Shared Service Center (SSC) to facilitate communication, Payer Contracting & Alignment (PCA), and actions related to the denial management processes.
What you will do in this role:
Responsible for setting up and coordinating Peer to Peer (P2P) reviews for Physician Advisors (PA)
Work with URS and Division PA's on denial and P2P strategies
Manages multiple calendars and sending/receiving appointment invites through Outlook
Maintain knowledge of commercial payer denial, authorization strategies/ practices, and contractual agreements
Possess current knowledge of CMS, Corporate and Division UR requirements and billing procedures
Monitor P2P's and observation (OBS) vs inpatient (IP) cases
Monitor and update MIDAS with pertinent information
Prepare monthly P2P reports from multiple data sources
Maintain P2P impact report for the Physician Advisors
Attends Monthly DMAT calls to provide impact on new denials
Practice and adheres to the HCA corporate culture, "Code of Conduct" and "Mission and Value Statements."
Exceptional written and verbal communications skills
Proficient in Microsoft Office applications, data base & internet queries (OnBase, ARTIVA, Meditech, MIDAS, HPF)
Proficiency in typing (60 words per minute), and 10 key skills
Conducts all activities with personal integrity, dignity, respect and civility
Independent and self-motivated with time management expertise
Maintains long-term customer relationships, building trust and respect; consistently exceeding expectations
Works effectively with physicians, employees, associates and external parties
Proficient using all health plan "Payer" portals
Requires prolonged sitting, bending, stooping and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriately. Requires lifting up to 20 pounds occasionally. Work is performed in an office environment with timely performance expectations and occasionally includes challenging circumstances, which require exceptional diplomacy skills.
What qualifications you will need:
College degree Preferred
Minimum of 2 - 3 years of Denial Coordinator, PDU, SSC and/or PTAC experience preferred
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you're looking for a leadership opportunity that provides both personal satisfaction and professional growth, apply to join HCA Healthcare as a Physician Advisor Coordinator WFH. Unlock your leadership potential with HCA Healthcare.
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.
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