Benefits Systems Manager - Healthcare jobs in Tiverton, RI

Benefits Systems Manager - Healthcare manages the implementation and maintenance of benefits systems for managed care and provider data. Monitors and audits systems to ensure medical management needs are met. Being a Benefits Systems Manager - Healthcare reviews and analyzes reports to ensure fee loading and coding are accurate. Manages the training of the fee loading process. Additionally, Benefits Systems Manager - Healthcare may require a bachelor's degree. Typically reports to a director. The Benefits Systems Manager - Healthcare manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Benefits Systems Manager - Healthcare typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

Recently Added Benefits Systems Manager - Healthcare jobs

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Jr Insurance Benefits Analyst
  • Cape Cod Healthcare
  • Hyannis, MA FULL_TIME
  • To financially clear all scheduled patients within 48 hours of their office visit and/or procedure. Resolve issues with accounts due to errors with authorizations, registration and eligibility. The job responsibilities include working effectively with the interdisciplinary team of Physician Offices, Insurance Companies, and CCHC Revenue Cycle to assure the protection and recovery of all revenues associated with services provided by MACC. Assists with the review, analysis, development, and implementation of Process Improvement changes for the department to improve efficiency and workflow.
    Description:
    • Troubleshoot and evaluate work product of staff, make recommendations to management and assists with implementing changes.
    • Participate with management in strategizing for Process Improvement initiatives to improve cash flow.
    • Attend and participate in management meetings.
    • Assists management on special organizational projects for CCHC.
    • Provide input and feedback for employee evaluations.
    • Work collaboratively with Patient Access Managers, Scheduling Managers, Business Office Managers, Vendors and Customers across the enterprise to ensure that Registrars and Schedulers are fully capable of using technology to properly register our patients.
    • Assists with review of financial clearance and registration procedures and ensure effective communication with physician practices, patients and internal departments.
    • Work with department managers to continuously identify and correct issues identified by reporting.
    • Assist Patient Access Managers with Quality Control assessments of their staff related to eligibility and pre-registration errors.
    • Verifying insurance eligibility using available technologies, payer websites, or by phone contact with third party payers. Working in accordance with required State and Federal regulations and CCHC policies.
    • Contact patients as needed to gather demographic and insurance information, and updates patient information within the EMR as necessary.
    • Ensure correct insurance company name, address, plan, and filing order are recorded in the patient accounting system.
    • Processes outgoing referrals to specialists outlined by the patient’s insurance plans in a timely manner.
    • Utilize payer websites and/or Epic/Experian to process, obtain and verify insurance referrals.
    • Utilizing the incoming referral work queue will request, obtain and link insurance referral authorizations to upcoming specialty appointments as outlined by the patient’s insurance plan in a timely manner.
    • Track, document and communicate the status of referrals as they move through the referral process, ensuring proper follow-up, documentation and communication when the referral has been completed.
    • Maintain core competency and current knowledge of regulatory payer authorization and eligibility requirements.
    • Obtain and verify authorizations to ensure payment for services provide through CCHC.
    • Work accounts in assigned work queues to resolve billing errors and edits to ensure all claims are filed in a timely manner.
    • Follow-up and work registration/authorization claim denial work queues to identify and take the appropriate action to fix errors for claim resubmission to payers.
    • Maintain close coordination with Practice Managers, Clinical/Front End staff, and Physicians to advise of any changes or updates to insurance payer requirements.
    • Responds to all practice inquiries and questions about insurances, referrals, and authorizations.
    • Meets and maintains daily productivity and quality standards established in departmental policies.
    • Assists the department, work unit and/or fellow staff members by cross-covering for absences, participating in special projects, and attending ongoing training sessions, etc.
    • Attends and participates in educational programs, in-service meetings, workshops, and other activities as related to job knowledge and state guidelines.
    • Ability to work with minimum supervision and in a team environment.
    • Performs other job-related duties and assignments as requested/directed.
    • Demonstrates the ability to adjust to unexpected changes to assure all responsibilities/duties are met during absences or increases in work volume.
    Qualifications:
    • Associate Degree strongly preferred, High School diploma or GED required
    • Minimum of one (1) year experience in a large hospital’s Revenue Cycle Department with an emphasis on Patient Access and or Scheduling is strongly desired.
    • Experience with large hospital information systems is required, preferably Epic and/or Siemens is preferred.
    • Excellent interpersonal, problem solving and critical thinking skills
    • Excellent PC skills with a strong emphasis on the Outlook suite of products
    • Excellent verbal and written communication skills are required.
    • Medical Terminology knowledge preferred
    • Experience utilizing insurance payer websites preferred.

  • 2 Months Ago
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Accounting Manager (Non-profit / Healthcare)
  • Jobot
  • Middletown, RI FULL_TIME
  • Want to learn more about this role and Jobot? Click our Jobot logo and follow our LinkedIn page!Job detailsOpportunity to join a top non profit in the Northeast // Hybrid Position!!This Jobot Job is h...
  • Just Posted
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Finance Systems Manager
  • Robert Half
  • Staten Island, NY PER_DIEM
  • A healthcare company located on Staten Island is currently looking for a Finance Systems Manager to join their team! This opportunity will have high visibility within the organization! The Finance Sys...
  • 9 Days Ago
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Travel Laboratory Manager
  • Aya Healthcare
  • Hyannis, MA FULL_TIME,CONTRACTOR,TEMPORARY
  • Aya Healthcare has an immediate opening for the following position: Manager Laboratory in Hyannis, Massachusetts. This is a 13-week contract position that requires at least one year of experience.
  • 15 Days Ago
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Travel Case Manager Registered Nurse
  • Aya Healthcare
  • Hyannis, MA FULL_TIME,CONTRACTOR,TEMPORARY
  • Aya Healthcare has an immediate opening for the following position: Case Manager Registered Nurse in Hyannis, Massachusetts. This is a 13-week contract position that requires at least one year of expe...
  • 20 Days Ago
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Travel Case Manager Registered Nurse
  • Aya Healthcare
  • Falmouth, MA FULL_TIME,CONTRACTOR,TEMPORARY
  • Aya Healthcare has an immediate opening for the following position: Case Manager Registered Nurse in Falmouth, Massachusetts. This is a 13-week contract position that requires at least one year of exp...
  • 2 Months Ago
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0 Benefits Systems Manager - Healthcare jobs found in Tiverton, RI area

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LPN (17)
  • Seven Hills Foundation
  • New Bedford, MA
  • Overview: Seven Hills NeuroCare is offering a $5,000.00 new hire sign-on bonus plus tuition repayment benefit! Now Offer...
  • 5/19/2024 12:00:00 AM
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A
RN Registered Nurse Patient Care Manager Home Health
  • AccentCare, Inc.
  • Fall River, MA
  • Salary: $100,000 - $112,000 Find Your Passion and Purpose as a Home Health Patient Care Manager Reimagine Your Career in...
  • 5/17/2024 12:00:00 AM
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Physical Therapist
  • Bear Mountain Health Care
  • Stoughton, MA
  • Physical Therapist Blue Hills Health and Rehabilitation Center Position Summary In House Rehab Team Full-time/Per diem S...
  • 5/17/2024 12:00:00 AM
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Travel Physical Therapist - $2,122 per week
  • Hiring Now!
  • Franklin, MA
  • Ascentia Staffing is seeking a travel Physical Therapist for a travel job in Franklin, Massachusetts. Job Description & ...
  • 5/17/2024 12:00:00 AM
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Psychiatric Technician PD
  • Lifespan Corporation
  • Newport, RI
  • Summary: The Psychiatric Technician functions under the direction of the Registered Professional Nurse and is responsibl...
  • 5/16/2024 12:00:00 AM
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Speech Language Pathologist (SLP)
  • Bear Mountain Health Care
  • Swansea, MA
  • Position Summary In House Rehab Team Located in Swansea, MA Primarily responsible for planning, organizing, developing a...
  • 5/15/2024 12:00:00 AM
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Travel Physical Therapist - $2,262 per week
  • Hiring Now!
  • Randolph, MA
  • Ascentia Staffing is seeking a travel Physical Therapist for a travel job in Randolph, Massachusetts. Job Description & ...
  • 5/15/2024 12:00:00 AM
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Travel Speech Language Pathologist - $2,262 per week
  • Hiring Now!
  • Randolph, MA
  • Ascentia Staffing is seeking a travel Speech Language Pathologist for a travel job in Randolph, Massachusetts. Job Descr...
  • 5/15/2024 12:00:00 AM
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About Tiverton, Rhode Island

Tiverton is a town in Newport County, Rhode Island, United States. The population was 15,780 at the 2010 census. Tiverton is located on the eastern shore of Narragansett Bay, across the Sakonnet River from Aquidneck Island (also known as the Island of Rhode Island). Together with the adjacent town of Little Compton, the area is disconnected from the rest of the state of Rhode Island. The northern portion of the town is located on Mount Hope Bay. Much of the town is located along a granite ridge which runs in a north–south direction, rising approximately 170 feet in elevation from the bay. A la...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Benefits Systems Manager - Healthcare jobs
$121,203 to $163,906
Tiverton, Rhode Island area prices
were up 1.6% from a year ago
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What does a Benefits Systems Manager - Healthcare do?

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Each of those studies employed economic modeling, not opinion surveys, and focused on the impact of healthcare reform on individuals, not employer attitudes.
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