Insurance Division Manage

Key Accountabilities:

• Understand and comply with Company Handbooks, Policies, and Procedures
• Full working knowledge of billing and insurance collections and terminology: including government and non-government regulations for hospital and physician-based entities
• Hiring and management of staff, overseeing competencies and performance expectations
• Communicates with leadership ensuring processes are properly managed and staffing needs are appropriately allocated to each project
• Participate in problem solving for clients to best meet profitability targets
• Monitor key performance indicators (KPIs) that provide insight to the daily operations to ensure effectiveness, continuous improvement and proactively assess and respond to concerns.
• Oversees the finalization and administration of invoices
• Prepare and submit bonus calculations for payment
• Support and monitor team and staff to ensure best practice workflows are implemented and sustained
• Model company values on an ongoing basis 
• Perform other duties as assigned

Competencies:

• Achieve expected results, operating standards, service levels and efficiencies
• Maintain excellent relationships with clients, vendors, and internal partners 
• Represent Meduit professionally with best-in-class service

Success Measures:

• Departmental KPIs, design and use to maximize performance
• Client performance, satisfaction, and profitability 
• Financial results

Qualifications:

• Bachelor’s degree in business administration, health care administration or other relevant degree that delivers analytical skills and abilities.
• And 3-5 years’ experience: including appropriate healthcare transactions such as billing, insurance follow up, both government and non-government, hospital and physician, denials management, underpayments/zero payments, and other revenue cycle functions.
• Or, equivalent level of education and experience
• Prior P&L and budget management experience
• Outstanding communication abilities, both written and verbal skills required
• Effective persuasion and influence skill to drive change internally and client results externally

Special Position Requirements:

Language Skills                                               

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.  Ability to write reports and business correspondence and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Mathematical Skills                  

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.  Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Reasoning Ability                                                          

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Computer Skills                                                             

To perform this job successfully, an individual should have knowledge of Database software; Internet software; Spreadsheet software and Word Processing software.

Other Skills

High energy level, great interpersonal skills needed for this position. 

Work Requirements:

Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.