Operations Manager - Medical Insurance Follow-up in Charlotte at Parallon

Date Posted: 9/19/2018

Job Snapshot

Job Description

Unit Manager - Client Insurance Representative
Position Summary: Directs and co-ordinates Medical Insurance Follow-up activities for our client. Co-ordinates, manages and facilitates workload, assignments, tasks and projects recognizing production goals of assigned staff.
Essential Job Functions:
Maintain an adequately trained medical claims processing staff to handle current production goals within department(s). Monitor and ensure that the daily production goals and quality of work are being achieved by the staff. Track production on proper forms and documentation.
Maintain and monitor weekly/monthly payroll and scheduling for all staff which includes time off & OT issues. Approve employee time records. Manage time off requests to ensure no department impact on production goals.
Perform weekly QA audits. Achieve and maintain acceptable scores and functions as outlined in the QA program. Fill out the proper forms. Audit the assigned number of accounts per day following a set schedule.
Provide coaching and development daily through informal observation and formal monitoring. This includes auditing account work, determining training needs, and coaching staff.  Conduct daily coaching sessions with staff members and provide performance feedback. Complete and maintain required documentation regarding performance and training/development needs. Review documentation with staff members. Responsible for creating cohesive team environment.
Ensure staff understands and follows processing procedures. Coordinate with Director any required changes.
All other duties as assigned
Qualifications:
Knowledge: Working knowledge of medical insurance claims processing, including Medicare processing. Capable of meeting production goals through subordinates. Bachelor's degree in Business or a related field or a combination of relevant work experience and training including familiarity with Coding, CPT, Medical Terminology and Revenue Cycle of medical claims. 
Experience: At least 3 years experience in hospital or physician insurance follow-up and resolution including 2 years in a supervisory role Experience with standard office software products a must.  
Skills/Aptitudes: Demonstrated leadership, analytical, communication and problem solving skills and the ability to act/decide accordingly. Ability to collect, create and research complex or diverse information. Exceptional customer service and the ability to plan, organize and exercise sound judgment. The capability to motivate employees, encourage team work and create a positive, effective work environment. Understanding of CPT & ICD-9 coding.
Disclaimer: The above statements are intended to describe the general nature and level of work being performed. They are not intended to be an exhaustive list of responsibilities, duties and skills required.

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