Senior Financial Operations Manager

1 week ago


Milwaukee, Wisconsin, United States Wellpoint Care Network Full time
About the Role

At Wellpoint Care Network, we are committed to restoring connections that help children and families thrive. We believe every individual deserves a fair chance to reach their fullest potential.

We are seeking a skilled Senior Financial Operations Manager to oversee our revenue cycle, ensuring seamless financial flows from initial appointments to final payments. This includes managing insurance processing, registration, eligibility, claims management, billing, receivables, and denials.

This is a challenging role requiring strong leadership skills, as you will be responsible for resolving billing and reimbursement-related issues, minimizing bad debt, improving cash flow, and effectively managing accounts receivable for our Clinical / Mental Health Services business unit.

About the Job Description:

  • Manage entire revenue cycle including billing, coding, receivables, and denial management.
  • Plan and direct medical insurance documentation, workload coding, billing, and data processing.
  • Participate in developing coding and billing strategies, evaluating processes relative to revenue cycle, and making recommendations while ensuring compliance with relevant rules and regulations.

About the Requirements:

  • Bachelor's degree in health administration, finance, business, or a related field required; master's degree preferred.
  • Certified Revenue Cycle Representative (CRCR) or Certified Revenue Cycle Executive (CRCE) a plus.
  • Minimum four years of experience in healthcare billing, including Medicaid/Medical Assistance.
  • Minimum two years supervising staff in a client/customer service setting required; healthcare setting preferred.

About the Salary: The estimated salary for this role is $80,000 - $120,000 per year, depending on qualifications and experience.



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