Insurance Division Director

4 weeks ago

Brea, California, United States Meduit Full time
Job Title: Insurance Division Manager

Meduit is seeking an experienced Insurance Division Manager to oversee the day-to-day operations of our billing and collections team. This role is responsible for meeting and exceeding department goals, managing project supervisors, billers, and collections staff, and maintaining client relationships at the servicing level.

Key Responsibilities:
  • Prioritize tasks and work independently without supervision
  • Excellent verbal and written communication skills
  • Strong attention to details and accuracy
  • Strong analytical and research skills
  • Analyze inventory and data to maximize collection potentials and develop leaders to perform the same function
  • Leverage appropriate accounts receivable management analysis
  • Versed in all insurance payer types, inclusive of all UB-04 and CMS-1500 claim forms
  • Familiar with hospital and physician insurance processes and practices
  • Experienced in 835, ERA's, EOB's, and payer portal accesses for claim resolution
  • Understands denials and appeals processes and educates staff accordingly
  • Discovers revenue enhancement opportunities and implements improvements
  • Collaborate with other Department Managers and Directors
Requirements:
  • Associates degree (A.A or A.S.) from an accredited College or University and 6+ years' experience, or equivalent combination of education and leadership experience
  • Experience with managing multiple teams (30+ employees)
  • 3 to 5 years of Healthcare revenue cycle/insurance billing experience, preferably both hospital and physician based
  • Medicare, Medicaid, HMO, PPO, Commercial Insurance experience required
  • Excellent leadership skills
  • Great organizational skills and an eye for detail
  • Ability to interview, hire, and train employees as needed
  • Ability to delegate and distribute tasks to employees
  • Advanced knowledge of proper techniques and client interfacing ensuring the overall success of client partnership, assigned team, and department
  • Ability to practice a high level of confidentiality
  • Takes initiative to identify, assess, and implement changes to team and department challenges
  • Preferred knowledge of applicable industry regulations
  • Advanced knowledge of the functions, operations, and mission of the specific department
  • Better than average written and spoken communication skills
  • Outstanding interpersonal relationship building and employee coaching and development skills
  • Excellent computer skills must include knowledge of Excel, Word, and Outlook
Work Environment:

Meduit is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, religion, sex, age, national origin, disability, military status, genetic information, sexual orientation, marital status, domestic violence victim status, or status as a protected veteran or any other federal, state, or local protected class.

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