**Description** **Introduction** Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a EDI Payor Response 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 EDI Payor Res Spec WFH to help us reach our goals. Unlock your potential! **Job Summary and Qualifications** The Electronic Data Interchange (EDI) Payor Response Specialist is responsible for applying a fundamental knowledge of healthcare billing practices and procedures related to researching, analyzing, and resolving responses from payors. This job has regular contact with internal and external customers and requires regular outreach to payors. **In this role you will:** + Perform claim research and analysis to resolve payor responses (i.e. 276/277 transactions and 835/Explanation of Benefit (EOB) Claim Adjustment Reason (CAS) codes) in accordance with department policies and procedures + Initiate telephone calls to payors with respect to claim errors, provider enrollment, patient eligibility, and claim status, utilizing proper customer service protocol + Review correspondence received and perform appropriate action to resolve + Meet and maintain established departmental performance metrics for production and quality + Maintain working knowledge of workflow, systems, and tools used in the department **Qualifications:** + High school diploma or GED preferred + Minimum one year related healthcare experience preferred, such as professional medical/billing, insurance follow-up, or accounts receivable follow-up. Relevant education may substitute experience requirement. + Prior experience reading and interpreting Explanation of Benefits (EOB) 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. "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 EDI Payor Res Spec WFH 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. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.