RCM Insurance Manager

4 days ago

West Palm Beach, United States Sage Dental Full time
Sage Dental is the leading Dental Support Organization (DSO) in the Southeast, and we are continuing to grow At Sage, people are at the core of everything we do. We are looking for dynamic and talented professionals who fit our culture of innovative technology, constant learning, and patient-centric care to join our team. If you are ready to take the next step in your career and want a position with excellent earning potential with a stable, growing company, Sage Dental has what you are looking for.

Overview

Our Insurance Manager oversees all aspects of Insurance plan Management and Insurance verifications, including the supervision of both the Insurance Verification team and the Insurance Group.

These teams are dedicated to verifying patient eligibility, gathering comprehensive insurance plan information, and incorporating this data to create accurate coverage profiles within our system. This allows us to outline coverage limitations and allowances clearly, allowing us to provide patients with precise estimates of both insurance responsibility and patient out of pocket costs.

This role drives consistency & accuracy of third-party payor billing information and improves the timeliness of claims submissions. The Insurance manager also collaborates closely with other members of RCM leadership to identify areas of opportunity and growth for the company. This is not a remote position - it is based at our Support Center in beautiful Boca Raton, FL.

For qualified candidates, we offer relocation assistance to help ease the transition and make Boca Raton your new home.

Responsibilities

Duties and responsibilities:
  • Overall responsibility of Insurance Verification team to ensure strategic goals and metrics are achieved.
  • Oversees the day-to-day activities of the team.
  • Keeps abreast of all reimbursement billing procedures of third party, private insurance, and government regulations to ensure compliance with current processes.
  • Improves processes within department with emphasis on quality and efficiency.
  • Identify root cause of issues and work with others to improve overall processes.
  • Reports audit metrics for employees to monitor accuracy and productivity rates.
  • Ensures staff are appropriately trained and held accountable for achieving standards and goals.
  • Ensure valid insurance information provided to our patients is accurate and complete. Works with staff to resolve discrepancies and improve accuracy.
  • Assists in the achievement of company goals and objectives by encouraging and facilitating cross departmental initiatives and cooperation.
  • Complies with federal, state, and local legal requirements by being aware of existing and new legislations.
  • Takes escalated phone calls that cannot be effectively resolved by team members.
  • Communicate with other departments; including front end staff regarding billing issues, and trends to work toward an account resolution and decreases insurance denial percentages.
  • Conducts team meetings to educate on insurance guidelines, and re-training efforts on accounts incorrectly worked.
  • Maintains patient confidentiality and functions within the guidelines of HIPAA.
  • Completes assigned compliance training and other educational programs as required.
  • Typical business hours are M-F, 8:00am-5:00pm
  • Performs other related duties assigned during and after normal business hours.

Management/Supervision:
  • Responsible for selection and hiring of qualified staff, ensuring an effective on-boarding, and providing comprehensive training and regular feedback.
  • Accomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards.
  • Establishes and is responsible for annual goals and objectives for the department based on the organizations strategic goals.


Qualifications

  • Minimum of 2+ years of insurance verification (PPOs) in the dental industry.
  • 3+ years of management experience in the dental industry.
  • Strong time management and organizational skills.
  • Familiarity with Dentrix software is a plus.


What Sage Offers

  • Work location: Sage Dental Support Center located in Boca Raton, FL 33487.
  • Growth opportunity.
  • Competitive base pay.
  • Bonus programs (job specific).
  • Benefits such as: Health Insurance, In-House Dental Program, PTO, Holiday Pay, Direct Deposit, 401K and more
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