RCM Healthcare Claims Denials Manager

Humana

274d • $86,300 - $118,700 • Remote

About The Position

Be a part of our caring community and help us put health first. This is a hybrid position; 1 day in office/4 days remote. Must live in either the Atlanta, GA market or Kansas City, MO or Kansas City, KS markets. As the RCM Manager, you will manage the collection and billing operations and develop credit/collection strategies to maximize profits and minimize loss. You will ensure that maintenance strategies of accounts receivable past due balances are within stated objectives. You will interpret to customers and field personnel Company policies/practices/procedures related to billing processes, accounts receivables, and financial issues regarding non-clinical processes and clinical specifications impacting accounts receivable. You will manage the analyses/report preparation of trends of consolidated account receivables and report information to appropriate line management. You will assume responsibilities of Director, as assigned, during Director's absence. You will prepare departmental budget and monitor expenses to ensure compliance with approved budgetary constraints. You will develop department tools and training programs, along with the Training Specialist, to encourage growth and development and analyze/monitor their implementation.

Requirements

• Bachelor's Degree or the equivalent preferred.
• A minimum of five years healthcare related billing/collection experience preferred.
• At least three years in a management role generally required.
• Strong knowledge of accounts receivables procedures and general accounting principles required.
• Excellent organizational and verbal/written communication skills.

Responsibilities

• Manage the collection and billing operations.
• Develop credit/collection strategies to maximize profits and minimize loss.
• Ensure maintenance strategies of accounts receivable past due balances are within stated objectives.
• Interpret company policies/practices/procedures related to billing processes and accounts receivables.
• Manage the analyses/report preparation of trends of consolidated account receivables.
• Report information to appropriate line management.
• Assume responsibilities of Director during Director's absence.
• Prepare departmental budget and monitor expenses.
• Develop department tools and training programs.

Benefits

• Health benefits effective day 1.
• Paid time off, holidays, and jury duty pay.
• Recognition pay.
• 401(k) retirement savings plan with employer match.
• Tuition assistance.
• Scholarships for eligible dependents.
• Caregiver leave.
• Employee charity matching program.
• Network Resource Groups (NRGs).
• Career development opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree