Description

Introduction

8AM- 4:30PM Monday-Friday - No Weekends.

Do you want to join an organization that invests in you as a VRM Team Lead? At Work from Home, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

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 (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated VRM Team Lead like you to be a part of our team.

Job Summary and Qualifications

As a Vendor Resource Deficiency Management Lead is responsible for day‐to‐day operational activities as it relates to queue management in Horizon Patient Folder (HPF), McKesson Patient Folder (MPF), EPIC, Cerner and Expanse for deficiency management. The Lead prepares and provides deficiency management specific education based on audit outcomes and trends. The Lead also assists the VRM Manager with vendor management including monitoring processes and services for improvement, quality, trending/analyzing data, creating and presenting education, answering deficiency management questions, and account follow up/resolution.

What you will do in this role:

• Assists in managing analysis vendor daily workflow (e.g., work queues/worklists, turnaround times, quality)

• Actively participates in the review and improvement of processes and services

• Routinely reports to the VRM Operations Manager on individual work accomplishments, problems, progress in mastering tasks and work processes, and individual training needs

• Assists VRM Operations Manager in quality control monitoring and reporting

• Assists in vendor training of new systems or work queues

• Assists with communicating with Vendor team on workflow and/or process changes

• Reviews and updates daily/monthly CAT file for internal tracking and review

• Promptly reports issues or trends to the Operations Manager

• Responsible for analyzing weekly/monthly VRM Error Log data to identify trends by vendor analyst that need to be addressed

• Responsible for creating the VRM slide deck from the VRM Error log data to report out to the field monthly

• Responsible for copying the HSC VRM error log data into VRM’s own Error log, sending out accounts to the vendor for RCA/AP responses and documenting returned RCA/AP on the log once received

• Routes VRM Error Log appeals and appeal responses across HSC and Vendor Teams

• Collates and presents quality trends and findings from the VRM Error Log to the VRM management team, Vendor teams, and Parallon stakeholders

• Monitors and ensures vendor staff adhere with guidelines, policies and Rules and Regulations

• Performs operational reviews of records as needed

• Monitors and is the liaison of information from the Parallon HIM back office staff and the vendor, including but not limited to the error log, action plans, education and escalations

• Assists with maintenance of the Analysis SharePoint site

• Communicates as appropriate with the vendor staff and Parallon HIM back office staff to ensure proper account resolution

• Answers deficiency management process questions from vendors

• Prepares vendor agendas and facilitates meeting as requested for coverage

• Leads projects and meetings as requested

• Maintains good working relationships with the analysis vendor team

• Completes all Company educational requirements

• Practices and adheres to the “Code of Conduct” philosophy and the “Mission and Value Statement”

• Other duties as assigned

What qualifications you will need:

• Minimum of 1 year of Health Information Management (HIM) experience required

• Experience in deficiency management preferred

• Prior supervisory experience preferred

• Proficient in Excel and Microsoft Office preferred.

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.

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

HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our VRM Team Lead opening. Qualified candidates will be contacted 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.