Responsibilities:

Provides guidance for the Insurance Staff
Optimizes productivity within billing by helping to establish goals that best utilize personnel and by encouraging communications and motivating the staff.
- Monitors tasks looking for synergies and efficiencies, recommending change when appropriate
- Makes sure staff is trained in all duties and ensures new information is trained quickly
Responds to and interacts with Client on all aspects of insurance follow up
Determines account distribution
Tracks and manages accounts, ensuring that staff is working efficiently
Looks for trends and patterns in accounts being received
- Denials
- Payor issues
- Account issues
Manages staff performance by providing regular feedback, performance reviews, and one-on-one meetings
Oversees the hiring and training of staff
Planning and structuring the department workflow and staffing

Skills:

Possesses the ability to work in a constantly changing environment, good judgment skills, and capable of making decisions with attention to detail.
Must have excellent organizational skills and ability to prioritize and coordinate workload with high degree of proficiency and accuracy.
Must have excellent analytical and problem-solving skills.
Ability to work easily and cooperatively with clients and peers, as well as staff.
Ability to work independently and follow through on tasks without direct supervision.
Ability to work well under pressure in a flexible, diplomatic and expeditious manner.
Maintains strict confidentiality of patients’ medical records and adherence to all HIPAA policies and regulations.
Must be extremely accurate with attention to details, policies, and procedures.
Excellent and accurate calculator, and computer skills. Including the ability to use, Microsoft Excel, Microsoft Word, E-Mail.

Knowledge:

Associate Degree with a Health Care or Medical Coding & Billing curriculum and 3 years’ work-related experience or equivalent work-related education/experience.
Excellent communication skills both verbal and written
Medical billing or revenue cycle experience is required.
Must have excellent computer knowledge and accurate keyboard skills.

Denial Manager