Manager, Insurance Operations - Hospital experience

Med-Metrix

22h•Onsite

About The Position

The Manager, Insurance Operations is responsible for overseeing day-to-day insurance follow-up and billing patient account processing activities. The Manager, Insurance Operations will lead operational teams, monitor performance and quality, support client needs, and ensure effective execution of processes and best practices to achieve revenue cycle and client objectives.

Requirements

Bachelor’s degree in a business-related field required
5+ years of experience in hospital revenue cycle operations, insurance follow-up, billing, or receivables management
3+ years of experience managing or supervising revenue cycle teams
Experience managing third-party insurance accounts receivable and follow-up operations
Demonstrated ability to monitor operational performance, analyze results, and implement process improvements
Experience developing and maintaining operational reports, metrics, and performance dashboards
Strong understanding of insurance billing, follow-up, and accounts receivable best practices
Demonstrated ability to lead teams and achieve operational, quality, and productivity objectives
Ability to effectively manage competing priorities and drive operational improvements
Ability to implement and promote change and innovation
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required

Responsibilities

Oversee day-to-day insurance follow-up and billing operations to ensure performance, productivity, and quality objectives are achieved
Manage and develop operational teams responsible for client delivery, ensuring consistent adherence to established standards and processes
Monitor operational performance metrics and identify trends, gaps, and opportunities for improvement
Implement and maintain effective operational processes and best practices for insurance follow-up, billing, and receivables management
Partner with leadership and client teams to address operational issues, improve performance, and support client objectives
Monitor client service delivery and maintain strong working relationships with client contacts
Support the development and execution of operational plans and initiatives aligned with organizational and client goals
Ensure appropriate staffing and resource allocation to meet operational and client requirements
Identify opportunities to improve productivity, efficiency, quality, and financial performance
Prepare and communicate operational reports, performance results, and recommendations to leadership and clients as appropriate
Ensure quality standards are understood, consistently followed, and monitored across assigned operations
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Other duties as assigned