Denial Prevention Manager Las Vegas Market - Military Veterans

Description

Salary Estimate: $80704.00 - $121035.20 / year
Learn more about the benefits offered for this job.

The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Introduction

We are seeking a Denial Prevention Manager (Las Vegas Market) with HCA Healthcare to promote growth and unlock possibilities. At HCA Healthcare, we are committed to the care and improvement of human life. Share your leadership skills and come make a difference with us!

Benefits

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

Note: Eligibility for benefits may vary by location.

We are seeking a Denial Prevention Manager for the Las Vegas Market for our team to be an innovator. HCA Healthcare partners with Harvard Pilgrim Institute and the CDC to use our data from more than 26 million patient encounters each year to impact the industry. Come build your career with us!

Job Summary and Qualifications

• You will be responsible for providing direction and oversight as a subject matter expert of the concurrent denial tracking and prevention to the market within the Far West Division and will assist the facilities by initiating a proactive approach to reduce denial volume by applying root cause analysis, action planning, strategy and process implementation


• You will interact with Division and facility leadership, payers, contracting, physicians, auditors, the SSC (shared service center), as well as any other departments to facilitate communication and actions related to the denial management processes and reporting
  
  


• You will conduct trend analysis from various data sources such as denial reports, audit results, SSC reports, and other information to assist in identifying gaps and developing program components to mitigate the identified gaps and serve as a subject matter expert and serves as an internal consultant to market facilities and physician offices in denial prevention


• You will identify education opportunities with the market/facility and assists with communication required for intervention and provide leadership to and actively participate with, facility staff to identify, implement, or enhance denial prevention programs consistent with division strategies

What qualifications you will need:

• BS / BA preferred, or significant experience as a subject matter expert in Denial Prevention
  
  


• You must have a working knowledge of the revenue cycle for patient accounts and accurate billing process- normally acquired through 5 years of experience in Patient Access and/ or an understanding of Case Management and the Utilization Review process


• Comprehensive knowledge of practices and techniques of revenue cycle pertaining to insurance reimbursements and patient account billing is required
  
  


• The ability to create visual presentations from data analyzed and strong problem solving skills are required
  
  


• Current working knowledge of non-governmental and governmental payers, and contracted language, including NCDs and LCDs and knowledge of the Target Probe & Educate process is required


• Strong working knowledge of Excel and ability to create pivot tables for data analysis required


• Working experience with Power Bi preferred


• Travel:  Must be able to travel frequently between facilities within the Las Vegas market as needed as a collaborative response to the job description

HCA Far West Division is a part of an exceptional network of hospitals throughout California and Nevada. We are committed to supporting its healthcare professionals and ensuring their growth. Our exclusive and specialty medical services in nine hospitals and six surgical centers throughout two states, provides a full spectrum of primary, acute, tertiary and chronic care for our patients. Our specialized care areas focus on advancing the science of medicine while providing high quality, life-saving technology and patient-focused care.

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.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Join our family of over 180 hospitals and about 2,000 sites of care to drive excellence and raise the bar for our over 35 million annual patient encounters.

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.