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Revenue Cycle Operations: Director of Insurance

Meduit
Brea, CA Full Time
POSTED ON 3/18/2024 CLOSED ON 3/18/2024

What are the responsibilities and job description for the Revenue Cycle Operations: Director of Insurance position at Meduit?

Key Accountabilities:
  • Full working knowledge of billing and insurance collections and terminology: including government and non-government regulations for hospital and physician-based entities.
  • Assist in implementing best practices and processes to maximize revenue and collection abilities.
  • Ensure maximization of cash collections through diligent and timely monitoring of all open accounts receivable balances.
  • Participate in problem solving for clients to best meet performance targets.
  • Participate in monitoring of key performance indicators (KPIs) that provide insight to the daily operations, assure effectiveness, and guide continuous improvement.
  • Ensure projects meet and exceed client expectations.
  • Escalate and communicate timely to appropriate leadership any issues and/or concerns related to the client performance, and internal staff performance and quality.
  • Participate in hiring and management of staff, overseeing competencies and performance expectations.
  • Communicates with leadership ensuring processes are properly managed and staffing needs are appropriately allocated to each project.
  • Participates in the preparation of month-end reporting to clients.
  • Communicate regularly with leadership regarding client performance. Including completely monthly pacing reports compared to company budget.
  • Support and mentor team and staff using excellent interpersonal skills.
  • Model company values on an ongoing basis
  • Understand and comply with Company Handbooks, Policies, and Procedures
  • Perform other duties as assigned
Competencies:
  • Achieve the expected financial results, operating standards, service levels
  • Manages the overall roadmap, planning and execution of the strategies to meet targets, goals and expected results.
  • Maintain excellent relationships with clients, vendors, and business partners
  • Represent Meduit professionally with best-in-class service
Success Measures:
  • Departmental KPIs, design and use to maximize performance
  • Client performance, satisfaction, and profitability
  • Financial results
Qualifications:
  • Bachelor’s degree in business administration, health care administration or other relevant degree that delivers analytical skills and abilities preferred.
  • 7 years’ direct revenue cycle leadership experience: including appropriate healthcare transactions such as billing, insurance follow up, both government and non-government, hospital and physician, denials management, underpayments/zero payments, and other revenue cycle functions.
  • Or, equivalent level of education and experience
  • Outstanding communication abilities, both written and verbal skills required
  • Delegation skills and excellent organization skills
Special Position Requirements:
Language Skills
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports and business correspondence and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the public.
Mathematical Skills
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should have knowledge of Database software; Internet software; Spreadsheet software and Word Processing software.
Other Skills
High energy level, great interpersonal skills needed for this position.
Work Requirements:
Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Meduit is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, religion, sex, age, national origin, disability, military status, genetic information, sexual orientation, marital status, domestic violence victim status or status as a protected veteran or any other federal, state or local protected class.

Education

Preferred
  • Bachelors or better in Health Administration or related field
  • Bachelors or better in Business Administration or related field

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