Vendor Relations Insurance

2 months ago

Morrisville, United States Affordable Care LLC Full time
Overview:

Position Summary:

The Vendor Relations Insurance is responsible for coordinating and monitoring outsourced activities relevant to the revenue cycle for KPI performance.  The Vendor Relations of Insurance will also liaise with internal ACI departments including field operations, and the practices to ensure KPIs, and SLAs are met across the fleet and within each practice. 

Responsibilities:

Position Duties and Responsibilities:

  • Responsibility for performance of outsourced vendor(s) to ensure quality, cost and timeliness of service to the practices and corporate. 
  • Weekly reports of progress on KPIs and issues to be provided to manager and vendor.  Expect constant theme of projects to continually exceed KPIs and drive efficiency
  • Coordinating all internal department activities related to RCM activities, which will initially be outsourced.
  • Ability to create presentations (.PPT) to share strategy, metrics, performance with management and vendor
  • Interaction with Central Billing Office(RCM team)  to handle next steps in AR resolution that are identified by status checks performed by outside vendor
  • Audits and monitoring of outsourced services to ensure efficiency and adoption by the practices.
  • Responsibility for seeking regular feedback relevant to outsourced functions
  • Monitor outsourced process flows and provide feedback to improve processes and results.
  • Perform other duties as new opportunities arise and/or as assigned.
Qualifications:

Qualifications

  • Ability to interpret and effectively communicate insurance regulations
  • Excellent verbal and written communication skills
  • Ability to facilitate telephone, in-person, and/or web-based training sessions
  • Excellent problem-solving skills
  • Well organized, accurate, and thorough
  • Adaptable; readily adjusts work schedule to adhere to changes in the work environment and is able to manage competing demands.
  • Adept at prioritizing, planning work activities, and developing reasonable action plans.
  • Proficiency in all Microsoft Office products, especially powerpoint

 

Education and Experience Requirements:

  • Associates degree required, bachelor’s degree preferred.
  • Minimum five years commercial insurance or Medicaid experience preferred.
  • Experience in a medical or dental practice preferred.

 

Computer Skills:                                                        

  • Proficiency in a Microsoft Windows environment.
  • Proficiency with dental or medical software; Dentrix preferred.

 

Core Competencies: To perform the job successfully, an individual should demonstrate the following competencies to perform the essential functions of this position. 

  • High level of customer service orientation.
  • Ability to assess development needs of affiliated auxiliary practice staff.
  • Knowledgeable in creating and presenting training course material.
  • Must possess strong skills in the areas of interpersonal communication, analysis, critical thinking, attention to detail, multi-tasking, and oral & written communication.
  • Excellent verbal and written communication skills.
  • Ability to work independently and collaboratively within a team environment.

#ACI

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