Senior Director of Insurance (Work from Home) in Bedford, TX at Parallon

Date Posted: 7/14/2018

Job Snapshot

Job Description



JOB TITLE: Senior Director of Insurance (Work from Home)


Overview:  The insurance division is responsible for resolving balances for placed inventory from our hospital clients.  These placements are various payers and from hospitals across the nation.  Each client may determine placement parameters, however, our best-practice methodology drives quality and production to achieve excellent outcomes. 



GENERAL SUMMARY OF DUTIES – The Senior Director, Insurance Operations directs and coordinates activities within assigned collections service centers, ensuring our facility external client KPI’s and expectations on service and performance are identified and accomplished.  Directs, workloads, staff assignments, tasks, projects, quality and productivity to meet all revenue and collection, KPI and satisfaction for clients and staff goals on a monthly, quarterly and yearly basis for in-house staff and work from home.  Develops strategies, work flows and staff engagement to drive maximum outcomes. 

 
SUPERVISOR – SVP Insurance
 
SUPERVISES –Senior Managers, Insurance Services

 
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
  • Develops required Policies and Procedures as needed to assure high reliability in expected outcomes. 
  • Actively recommends and drives accountability to productivity standards globally as well as client specific areas.
  • Ensures Policies and Procedures are adhered to assure Quality standards are met.
  • Works closely with all relevant individuals and business units, internally and externally, to determine production goals based on operational standards as well as client profile.
  • Actively participates in development and execution of change needs to address performance and/or budget plans.
  • Cultivates and drives a culture of ‘can do’ and ‘just culture’ while maintaining a high level of expectations related to operations and behaviors. 
  • Embodies a team success attitude that is created through integrity and an atmosphere of unity and respect.
  • Manages a Work-From-Home staff and creates strategies to maximize KPI’s and overall engagement. 
  • Achieves a level of subject matter expert related to Parallon INS LOB operations and industry insurance collections
  • Continually assesses the quality and quantity of collection performance for all clients’ assuring KPI’s are met. 
  • Proactively evaluates performance, makes adjustments and initiates solutions to resolve issues timely, accurately and effectively. Seeks immediate performance improvements. Understands why and how client performance fluctuates and makes the necessary adjustments to rectify. Discusses all such findings as needed with the RVP, Insurance Follow-up.
  • Participates in the creation and performance of the Education and Training staff to assure staff is fully engaged and current in their operational training needs. 
  • Oversees management activity relating to hiring, training, coaching, monitoring, appraising, disciplining and terminating.
  • Supports the development of service level agreements with clients to assure continuous continuity between work and expectations.
  • Continually looks for opportunities to: drive success in process, policies, staff knowledge, staff engagement, margin enhancement and cost reduction etc.   
  • Develops robust reporting to assure internal staff and leaders are kept informed of performance as well as KPI driven operational  review material to assure the client of full and transparent knowledge.  Provides updates on procedural and client oriented changes and updates department manuals or other written materials.
  • Communicates openly and routinely to assure active communication supports the urgency and drive for success of the entire team.
  • Adheres to and supports organizational IT&S standards, policies, and procedures.
  • Adheres to and drives the Code of Conduct and Mission expectations to all individuals.
  • Performs other duties as assigned.



 



KNOWLEDGE, SKILLS & ABILITIES

  • Technical Expertise – Understanding of healthcare including knowledge of healthcare terms and accounts receivable processes
  • Strategic Analysis - Analytical Review skills and ability to make decisions based on analysis
  • Leadership - guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services

  • Tactical execution - oversees the development, deployment and direction of complex programs and processes
  • Financial management - applies tools and processes to successfully manage to budget
  • Project Management - assesses work activities and allocates resources appropriately
  • Organization - proactively prioritizes needs and effectively manages resources
  • Communication - communicates clearly and concisely, verbally and in writing.  This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately. The ability to communicate with staff, Parallon Management, Division and Group Executives. Instills confidence when communicates
  • Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • Interpersonal skills - able to work effectively with other employees, patients and external parties
  • PC skills - demonstrates proficiency in Microsoft Office applications and others as required
  • Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
  • Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes, have ability to work quickly and accurately in a fast-paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player,  adaptability, analytical and problem solving ability and attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.  Has a sense of urgency that drives positive culture and performance outcomes.

 EDUCATION
  • Bachelor’s Degree in Business or related field required.

EXPERIENCE
  • Minimum seven years healthcare revenue cycle management experience with three of these years in the related area for the position.
  • Experience in running a large scale central business office for multiple entities.
  • Acute Hospital collections experience
  • Relevant education may substitute experience requirement with Executive approval.
  • ARTIVA experience preferred

 CERTIFICATE/LICENSE
  • N/A



PHYSICAL DEMANDS/WORKING CONDITIONS – Requires prolonged sitting, some bending, stooping and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Requires lifting papers or boxes up to 50 pounds occasionally.  Work is performed in an office environment. Work may be stressful at times. Contact may involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations. Occasional travel to division data center and/or other facilities may be required.

 
OSHA CATEGORY – The normal work routine involves no exposure to blood, body fluids, or tissues (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids).  Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency care or first aid, or to be potentially exposed in some other way.

Parallon is an equal opportunity employer.