Healthcare Operations Manager

2 weeks ago


Fairhaven, Massachusetts, United States Southcoast Health Full time

Southcoast Health is a not-for-profit, charitable, health system with multiple hospitals, clinics and facilities throughout Southeastern Massachusetts and Rhode Island. We are searching for a talented Healthcare Operations Manager to join our team.

A career at Southcoast Health offers you:

  • Culture of Well-being: A culture that embraces, respects, and celebrates the rich diversity of one another and the communities we serve.
  • Competitive Pay and Benefits: Generous pay and comprehensive benefits package including Earned Time Off Package, Employee Wellbeing Program, 403B Retirement Plan with company match, Tuition assistance / Federal Loan Forgiveness programs.

Responsibilities include recommendations on employee activities, monitoring productivity, training, and disciplinary action decisions. Review websites, seminars, and/or online training to stay current with all regulatory and insurance requirements for Third-Party Payers. Ensure timely, compliant submission of all claims, review denials, and ensure claims follow up meets department requirements. Implement new procedures as needed. Maintain updated training manuals and tip sheets in shared drive. Review audit requests from payers. Meet with payer representatives on a regular basis. Work with IT and ancillary departments to improve revenue cycle performance, compile reports and provide data as needed to resolve issues.

Requirements:

  • Associates degree or equivalent education and experience required.
  • Minimum five (5) years experience in information systems within a financial environment required.
  • Experience in a healthcare financial environment including knowledge medical terminology preferred.
  • Third Party Billing experience with knowledge of EMR and familiarity with CPT/HCPCs/ICD9/APCs, modifiers.
  • Familiarity with CMS compliance regulations, CCI edits, NCDs preferred.
  • Must be fully vaccinated against seasonal Influenza and the COVID 19 virus or to be exempt from the requirement for medical or personal reasons by signing a statement certifying you are choosing to be exempt from vaccination once hired.

We offer a salary range of $54,038 - $90,834 per year, depending on level of experience.



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