Processing Manager

Mercalis

3d

About The Position

The Processing Manager is responsible for leading the Processing department, where medical claims (via patient /physician reimbursement), business reply cards (BRCs), and mail-in rebates are processed. The wide spectrum of responsibilities ensures that this role is challenging, professionally rewarding, and extremely important to our business.

Requirements

• Bachelor’s Degree in relevant discipline preferred or equivalent work experience
• 5 years of leadership experience with progressive levels of responsibility
• 3 years of Pharmacovigilance experience
• Ability to adapt to changing priorities and manage a large service-oriented team
• Ability to communicate effectively both written and orally with all levels of management and clients
• Excellent decision-making skills
• Detail-oriented with strong organizational skills
• Strong analytical and problem-solving skills
• Computer skills with proficiency in Microsoft Office
• Familiarity with insurance processing and medical terminology a plus

Nice To Haves

• Familiarity with insurance processing and medical terminology a plus

Responsibilities

• Lead the Processing Department in all aspects of our company’s processing requirements
• Communicate staffing needs to the appropriate parties during peak seasons
• Communicate Service Level Agreements (SLAs) to the team and provide the necessary resources to ensure SLAs are met
• Establish a performance culture within the Processing Department focused on individual team accountability and performance to set objectives
• Collaborate with TrialCard’s internal and external customers to define and create business rules for claims processing
• Develop, implement, and maintain department policies, procedures, and protocols
• Monitor and ensure quality standards for all activities, implement actions to improve on quality for identified gaps
• Forecasting for department business needs to meet client expectations
• Investigate escalated issues and drive issues to necessary resolution
• Identify and report pharmacovigilance information as required by client(s) (i.e., Adverse Events)
• Request and implement reporting capabilities for productivity statistics relevant to measuring and improving team performance
• Keep management abreast of concerns regarding the performance of the department
• Coach, develop, and mentor direct reports
• Provide business requirement and guidance for scoping of new business
• Adhere to internal and external compliance requirements for Processing

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 501-1,000 employees