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    Director of Premium Revenue Cycle - Louisville, United States - 360care

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    Description
    Overview

    This position manages all aspects of the SCIP department to ensure all accounts receivable is processed and maintained in a timely manner & all documents and systems are initialized for all Group Division policyholders and insured individuals.

    Responsibilities

    Ensures new groups and patients are properly set up and current information is maintained.

    Responsible for tracking department reports and communication in a timely manner.

    Ensures new group set up, changes and terminations occur timely.

    Manages and completes weekly maintenance of: capitation, check request, aging, cash and offset reviews.

    Responsible for monthly capitation and check requests.

    Manages all functions of the department collections.

    Responsible for all department hiring, training, developing and motivating employees.

    Keeps employees up to date with any department and / or Company policies and procedures.

    Meets weekly with employees to review progress and provide feedback on quality and quantity of work.

    Continually evaluates department areas of opportunity to troubleshoot, improve current processes and procedures.

    Provides weekly progress reports to management for quantity and quality of work.

    Leads by example and sets the pace of work flow for the department.

    Assist with communication of company and team goals to identify areas of opportunity and training or skill checks.

    Address employee questions following company policy and procedures.

    Effectively communicates with employees, management and customers.


    Actively supports and complies with all components of the Company compliance program, including, but not limited to, completion of training and reporting of suspected violations of law and Company policy.

    Maintains confidentiality of all information; always abides with HIPAA and PHI guidelines.


    To work remotely, it is expected you will have a reliable, nonpublic high-speed internet connection with sufficient bandwidth to participate in all work-related activities.

    Any interruptions in service should be immediately reported to your manager.

    Reacts positively to change and performs other duties as assigned.

    Qualifications

    Bachelors degree with emphasis on business or equivalent experience

    Five years managerial experience with customer service and collections

    Previous healthcare billing and management experience preferred.

    Must be able to work in a fast-paced environment.

    Must have excellent customer service and leadership skills.

    Must function with a high level of professionalism.

    Must have excellent communication skills, both written and verbal.

    Must have a sense of urgency and a passion for customer satisfaction.

    Proficiency in MS Office Suite

    Excellent organizational and time management skills.

    We will only employ those who are legally authorized to work in the United States. Any offer of employment is conditional upon the successful completion of a background investigation and drug screen.

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