Manager Physician Advisor Coordination

Introduction

Do you want to join an organization that invests in you as a Manager Physician Advisor Coordination? At Parallon, 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

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

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 Manager Physician Advisor Coordination like you to be a part of our team.

Job Summary and Qualifications

The Physician Advisor Coordinator will lead a team of coordinators in support of Physician Advisor 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.

In this role you will:

• Provide leadership and guidance to physician advisor coordinators
• Oversee the technical assistance and compliance monitoring, and management of staff
• Prepare reports and documents for management as requested
• Plan, evaluate and improve the efficiency of business processes and procedures to enhance speed, quality and output
• Ability to work independently - time management- good attendance – confidentiality
• 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.”
• Special projects as needed.
• Work with coordinators in timely completion of all peer to peers and deadline notifications of the physician advisors

Qualifications:

• College degree Preferred
• Minimum of 2 – 3 years of Denial Coordinator, PDU, SSC and/or PTAC experience preferred

"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 Manager Physician Advisor Coordination opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.