HCA Healthcare Jobs

Description

Introduction

Want to join a team of daring managers who care without reservations or limits? Our Work from Home team is looking for a Remote Manager Division Denials. HCA Healthcare is an advanced healthcare network that has committed up to $300 million to our incredible team members over the course of three years.

Benefits

The North Carolina Division of HCA Healthcare, 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 (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

HCA Healthcare is committed to research and clinical protocols. Do you want to impact standards of care and save lives across the country? Apply today to our Remote Manager Division Denials and be a part of the innovation of ideas.

Job Summary and Qualifications

The Division Denial Manager is responsible for the development, implementation and operational oversight of strategic initiatives related to denial management, root-cause analysis and resolution for final denial write off. The position is responsible for the development of policies and standard processes and ensures that all initiatives meet company and regulatory requirements.

Essential Accountabilities:

• Develops, directs, implements and operates an evidence-based, state of the art denial management program.

• Implements the division denial management program effectively with strong collaboration with each facility billing staff, case management staff, central UR and Parallon.

• Manages Division Denial Management operations to ensure processes meet or exceed expectations and ensures daily operations are efficient and effective

• Provides Division Denial leadership through open collaborative engagement with all partners.

• Participates in professional leadership growth and development.

• Recruits, welcomes and encourages new employees to be successful, by creating a friendly and supportive environment that promotes growth and learning in order to retain and help acclimate to the Division.

What qualifications you will need:

Required Education: Master’s Degree.

Preferred Education: Master’s Degree in Nursing, Business Administration or Health Administration.

Required License: If registered nurse, must have and maintain current licensure as registered nurse with the North Carolina Board of Nursing. eNLC (Enhanced Nurse License Compact) license may apply, licensee should confirm with NCBON.

Preferred Certification: Nationally accepted certification in Case Management, Utilization Review, Coding, or other denial management practices is preferred.

Required Experience:

• Three years of experience in denial management.

• Requires professional level of knowledge of utilization review, care management, InterQual and/or medical necessity methods, DRGs, CPT coding required.

• Must be self-motivated, outcome oriented, and possess the ability to effectively communicate and work well with all levels of the business.

• Computer skills including word processing, spreadsheets, presentations and Intranet software, e-mail.

Preferred Experience:

Five years of prior denial management as described above.

Mission Health, (https://missionhealth.org/) an operating division of HCA Healthcare, is based in Asheville, North Carolina, and is the state’s sixth largest health system. Mission Health is consistently named one of the nation’s Top 15 Health Systems by IBM Watson Health and is the only health system in North Carolina to achieve this recognition. Mission Health operates six hospitals, numerous outpatient and surgery centers, post-acute care provider CarePartners, long-term acute care provider Asheville Specialty Hospital and the region’s only dedicated Level II trauma center. With approximately 12,000 colleagues and 2,000 volunteers, Mission Health is dedicated to improving the health and wellness of the people of western North Carolina.

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.

"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 Medical Director. 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.

"Good people beget good people."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

Unlock your potential with a leading healthcare provider dedicated to its patients, colleagues and communities. Help guide our team as a(an) Manager Division Denials WFH and help us improve more lives in more ways .

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.