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Claims Resolution Specialist
Claims Resolution Specialist-March 2024
Nashville
Mar 27, 2026
About Claims Resolution Specialist

  Description

  Introduction

  Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Claims Resolution Specialist with Parallon you can be a part of an organization that is devoted to giving back!

  Benefits

  Parallon, 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.

  Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Parallon family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Claims Resolution Specialist to help us reach our goals. Unlock your potential!

  Job Summary and Qualifications

  Seeking a Claims Resolution Specialist who is responsible for applying fundamental knowledge of healthcare revenue cycle practices and procedures as it relates to researching, analyzing, and resolving open insurance claims and balances. This job requires regular outreach to payors. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you. We want you to apply today!

  What you will do in this role:

  Conduct follow-up with payors, vendors, and clearinghouse on open insurance claims and balances in compliance with departmental policies and procedures

  Resubmit primary and secondary claims

  Identify potential claim issues and escalate to management

  Review, identify, and resolve payor denials

  Update patient accounts as appropriate

  Ensure adjustments are posted timely and correctly for claims that need to be adjusted

  Resolve claims impacted by payor recoupments and refunds

  What qualifications you will need:

  High school diploma or GED preferred

  Minimum of 1 year related healthcare experience preferred

  Relevant education may substitute experience requirement

  "

  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.

  "

  "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

  Be a part of an organization that invests in you! We are reviewing applications for our Claims Resolution Specialist opening. Qualified candidates will be 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 status.

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