Manager, Denial Prevention

MedAmerica • Elk Grove, CA

5d • $69,520 - $86,900 • Remote

About The Position

Remote, Nationwide – Seeking Manager, Denial Prevention Everybody Has A Role To Play In Transforming Healthcare At Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside. Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done. Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you. The Opportunity Monitor and report on daily workflow related to operational performance. Manage updates to new and existing contracts in the billing platform. Conduct bi-monthly meetings with billing operations leadership. Host external calls with payers to resolve claims issues. Monitor exception processing to ensure established cycle times are being met. Ability to create and analyze reports. Communicate and present performance metrics to senior leadership or providers. Conduct resource planning to maximize productivity of resources and ensure operational coverage. Hire, train, and develop supervisors and operational personnel. Support Development and IT on system changes/enhancements. Analyze data for patterns and trends and communicate to senior leadership. Foster teamwork and collaboration across departments/operations. Manage operations to meet and/or exceed budgetary allotment. Manage employee performance, payroll, and timekeeping. Resolve escalated patient and employee issues quickly, effectively, and diplomatically. Serves as a Notary Public by acting as a legal witness for signatures where they are needed.

Requirements

• 2+ years managing an operational department required.
• Experience in healthcare services or social services required.
• Strong knowledge of MS applications; Word, Excel, and PowerPoint required.
• Hold an active Notary Public license in the state of California required.
• Ability to effectively respond to inquiries and complaints from patients, payers, or providers.
• Ability to effectively present information in group situations to clients, employees, or senior leadership.
• Ability to define problems, collect data, establish facts, and draw valid conclusions.
• Strong leadership and analytical skills.
• Proven experience dealing with conflict management.
• Ability to read, analyze, and interpret financial information, patient correspondence, and/or contracts.
• Ability to make sound business decisions.
• Clear and concise written and verbal communication.
• Strong interpersonal skills to motivate team members, train, and provide feedback.
• Ability to manage workflow and meet performance and/or volume expectations.
• Comply with RCM operational policies and procedures.
• Ability to work in a fast-paced high-volume environment.
• Flexible and adaptable to an ever-changing environment.
• Ability to work within a team environment.
• Ability to communicate and collaborate across operational departments.
• Ability to work extended hours or weekends in peak periods.

Nice To Haves

• Thorough knowledge of an RCM operation preferred.
• Bachelor’s Degree in health care management, Business Administration, or similar curriculum preferred.

Responsibilities

• Monitor and report on daily workflow related to operational performance.
• Manage updates to new and existing contracts in the billing platform.
• Conduct bi-monthly meetings with billing operations leadership.
• Host external calls with payers to resolve claims issues.
• Monitor exception processing to ensure established cycle times are being met.
• Ability to create and analyze reports.
• Communicate and present performance metrics to senior leadership or providers.
• Conduct resource planning to maximize productivity of resources and ensure operational coverage.
• Hire, train, and develop supervisors and operational personnel.
• Support Development and IT on system changes/enhancements.
• Analyze data for patterns and trends and communicate to senior leadership.
• Foster teamwork and collaboration across departments/operations.
• Manage operations to meet and/or exceed budgetary allotment.
• Manage employee performance, payroll, and timekeeping.
• Resolve escalated patient and employee issues quickly, effectively, and diplomatically.
• Serves as a Notary Public by acting as a legal witness for signatures where they are needed.

Benefits

• Superior health plan options
• Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
• Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%25
• Outstanding Paid Time Off: 3-4 weeks’ vacation, Paid holidays, Sabbatical
• Student Loan Refinancing Discounts
• Professional and Career Development Program
• EAP, travel assistance, and identify theft included
• Wellness program
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 1,001-5,000 employees