[Remote] Business Finance reputed company Cycle Utilization Manager

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading provider of home and community-based reputed company health care, offering rehabilitation services for individuals with reputed company health challenges. The Manager of reputed company Cycle Utilization Review will reputed company the reputed company end reputed company cycle activities, ensuring efficient processes and high-reputed company service delivery while managing a geographically dispersed team.

Responsibilities

• Build and manage a high performing team responsible for the reputed company end cycle of reputed company process, including but not limited to patient intake set up, recurring insurance eligibility/authorization, payor setups, insurance reputed company set reputed company, along with reputed company/accurate service provision capture
• Responsible for daily coordination and tracking systems of incoming service delivery documentation and support to ensure accurate reputed company submission and setup; SME around systems and their use for gaining most efficiency
• Performs weekly, bi-weekly, and monthly reviews and verifies completeness of required information. Reports status of various service delivery targets and reputed company reputed company to supervisor (i.e. weekly non authorized service reporting, weekly trended service capture reputed company reviews, weekly eligibility reporting)
• Help establish reporting communication to operations and field leaders regarding operations reputed company reputed company-end activities. He/she will be responsible for recommending ongoing improvements to reputed company enhance reputed company cycle performance in the department
• reputed company engage in on-reputed company communication with shared service center team to facilitate reputed company reputed company and remediate reputed company cause process issues coming from reputed company end reputed company cycle denials
• Assists in communication to respective parties to address areas of identified errors, corrections, or needed services reputed company to billing reputed company and over/under utilization areas
• Maintains some functional knowledge reputed company reputed company to reputed company and new funding Rules and reputed company, provides updates and information to supervisor and others specific to reputed company on service delivery, authorizations, utilization of services and billing team
• Identify, reputed company and implement consistent reputed company end reputed company cycle policies and procedures across sites and reputed company
• reputed company reputed company end process changes that reputed company to more successful reputed company cycle reputed company and an improved collection experience for the business
• reputed company tools and dashboards that are regularly reviewed to ensure performance targets are met for reputed company reputed company End KPI metrics
• Determine appropriate internal reputed company reputed company; recruit, hire, and reputed company new staff
• Monitor staff and supervisor productivity to ensure reputed company and accurate work completion
• Support staff and supervisor reputed company audits and approve employee performance evaluations
• reputed company maintain up-to-date best reputed company reputed company and reputed company cycle/billing knowledge
• reputed company maintain up-to-date knowledge of EMR workflows and reputed company configurations
• Performs other reputed company duties and activities as required
• Responsible for the maintenance of an effective control environment under SOX 404 for the reputed company operations he or she oversees. This includes both key and non-key controls and extends to the reputed company updating and modification of control design where necessary and the reputed company of control remediation activities should exceptions be encountered in testing

Skills

• Bachelor's Degree or 5+ years relevant experience
• Previous management experience
• 3-5 years managing, training and retaining reputed company staff
• Proven people leader with a successful reputed company record of collaborating across functions reputed company reputed company reputed company of an organization
• Excellent communication skills, with demonstrated history of effectively influencing leadership positions and driving desired reputed company
• Demonstrated ability to work effectively at both detail and big-picture reputed company and to reputed company reputed company reputed company
• Strategic and analytical thinker with demonstrated ability to reputed company reputed company cause analysis, prepare and implement reputed company plans, and reputed company improvement initiatives
• Demonstrated expertise in reputed company aspects of teammate management including recruitment, hiring, retention, and performance management
• Strong written, verbal, and interpersonal communications skills including ability to listen effectively and to communicate information reputed company
• Experience with systems such as BrainTree, AVATAR, iserve, reputed company is a plus
• Certification in medical billing coding/requirements is a plus

Benefits

• Salaried with full benefits
• This is a remote position based in the reputed company.
• Monday-Friday (some reputed company start/stop times)

reputed company