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Manager Of Insurance Operations

Job Order ID 3335
Province/State Delaware
City New Castle

Employment Type Permanent
Posted Date 9/6/2019

Brief Description


Our unique combination of highly trained staff, coupled with award winning technology, allows our client to provide superior customer service and accounts receivables management services in partnership with hospitals and healthcare systems throughout the country.  Enhance your career in the growing healthcare industry by joining our team as a Manager of Insurance Operations, reporting to the Director of Insurance Operations, where you will lead a work team responsible for ensuring accurate insurance processing and collection of patient accounts, system checks and audits, and applicable system, productivity, and accounting reporting



 

⦁ Responsible to drive business performance by identifying resource requirements, planning and implementing  productivity strategies, monitoring business results, implementing continuous improvement programs, developing agents, and improving systems and processes to exceed key performance metrics and business objectives


⦁ Direct a team of Patient Account Representatives to ensure performance and productivity standards are met in accordance with prescribed client expectations.


⦁ Maintain and update applicable reporting systems and conduct account and inventory and system audits and analyses.


⦁ Utilize multiple internal and external processing systems, operational processes, and reporting mechanisms in order to compile and analyze statistical data and identify systems or agent performance issues and  implement necessary and required changes.


⦁ Develop and implement processes to proactively identify insurance account trends and issues and implement  appropriate resolution  measures. Ensures the timely and thorough resolution of client inquiries and complaints.


⦁ Identify individual and group production and performance standards for  staff of Patient Account Representatives and supervisory  staff.   Monitor supervisor and agent interaction, both internally and with external clients/patients, to ensure the application of defined standards, evaluate skill usage, and assess training and development needs.


⦁ Facilitate the cooperation and activities of other departments and functions to assist in development and execution of operational  improvement and support initiatives.


⦁ Achieve and maintains a high level of proficiency in the systems and tools used to support our client base.


Requirement Note

⦁ 5-8 years of experience and expertise in healthcare billing and collection field.


⦁ 5+ years of management experience, preferably in the financial services or healthcare discipline, with demonstrated success in driving results, and leading and motivating diverse teams to achieve sustained performance levels.


⦁ Comprehensive understanding of healthcare and collection industry laws and regulations.


⦁ Experience with healthcare receivables, insurance claims, denial, and appeal processing, including ICD-10, CPT, HCPC codes, and UB and 1500 claims forms.


⦁ Ability to analyze and resolve problems, audit reports, and identify payor trends and reimbursement discrepancies.


⦁ Experience maintaining and developing operational statistics, financial management information and results reporting


⦁ Bachelor’s Degree


⦁ Advanced proficiency in Microsoft Office applications.



Contact Details:
Dianne Nasiatka
Dianne@execsallied.com