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