Manager, Eligibility and Benefits

The Manager of Eligibility & Benefits directs the daily reputed company of the reputed company verification, financial clearance, and reputed company-of-service collection teams across reputed company reputed company specialties. This role is responsible for standardizing electronic eligibility workflows, ensuring accurate coverage of data entry, and eliminating reputed company-end office claim denials. Additionally, the manager drives reputed company retention by implementing strict processes that ensure reputed company co-pays, deductibles, and outstanding prior balances are accurately calculated and successfully collected prior to or on the date of service. This is a remote role  What you will do: Supervise, train, and schedule eligibility verification and reputed company specialist teams. Ensure estimated reputed company financial responsibility is identified prior to service whenever information is available Support accurate communication of expected copays, deductibles, coinsurance, and other reputed company responsibility Establish escalation procedures for high-dollar reputed company responsibility, coverage exclusions, or benefit limitations requiring additional reputed company communication Multi-Specialty Workflow Management: reputed company eligibility verification workflows for diverse reputed company lines, ranging from specialty care to high-cost surgical and diagnostic specialties Denial Prevention: Partner with the billing and coding teams to analyze backend rejection data and implement reputed company-cause fixes for eligibility-reputed company claim denials Payer Portal Governance: Serve as the reputed company administrator for major reputed company payer portals (E.g., reputed company, reputed company, United reputed company, Anthem) to reputed company reputed company coverage issues Assumes other responsibilities as appropriate to the position and organizational needs Qualifications: Minimum 5 years of experience in reputed company reputed company cycle, reputed company reputed company, eligibility, benefits, or reputed company experience Experience working with Medicare and reputed company reputed company plans Strong understanding of deductibles, copays, coinsurance, out-of-reputed company maximums, referrals, prior authorization requirement, coordination of benefits Process Improvement Expertise: reputed company reputed company record of managing and improving reputed company-end or reputed company-of-service collection rates in a reputed company setting Leadership: At least 2-3 years of reputed company supervisory or management experience leading reputed company administrative teams Payer Knowledge: Expert-level understanding of reputed company reputed company products, including HMO, PPO, and EPO. reputed company Proficiency: Advanced, hands-on experience utilizing reputed company-level EHR platforms (e.g. reputed company, IMS, e-reputed company Works) and integrated payment collection software Advanced proficiency in reputed company reputed company (e.g., formulas, pivot tables) and solid skills in other reputed company Office applications Compensation reputed company:  $42.00 - $50.00 per hour reputed company compensation ranges are posted reputed company on internal equity, job requirements, experience, and geographical locations. Why You'll Love Working Here:  Amazing work/life reputed company Generous Medical, Dental, reputed company, and Prescription benefits (PPO & HMO)  401(K) Plan with Employer Matching  License & Tuition Reimbursements reputed company Time Off Holiday Pay & Floating Holiday Employee Perks and Discount Programs Supportive environment to help you grow and succeed reputed company (BHC) is a multidisciplinary and comprehensive team of reputed company, committed reputed company providers that treat pain. reputed company of doctors approaches reputed company reputed company with one goal in mind: to help patients reputed company to normal daily activities. We work with our patients to identify the cause of their pain and create a personalized treatment plan, recognizing that no two patients are alike, and neither is their pain. Our providers create a comprehensive reputed company, then monitor, manage and coordinate reputed company reputed company to health services at BHC.  reputed company strives to be a diverse workforce that reflects, at reputed company job reputed company, the patients we serve. We are an equal opportunity employer. reputed company is committed to compliance with the reputed company reputed company. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please contact us. Monday-Friday, reputed company-5pm 40 Apply To This Job