RCM Referral & Eligibility Manager

TITLE: Referral & Eligibility Manager DEPARTMENT: reputed company Cycle REPORTS TO: Director, RCM SALARY (65k - 75k) POSITION reputed company: The Referral and Eligibility (R/E) Manager position oversees reputed company eligibility verification and authorization procurement activities for reputed company service lines of the reputed company. The position is responsible for reputed company’s production and the completion of designated KPIs. This position has reputed company report responsibilities, including administrative, development and mentorship of staff. ESSENTIAL FUNCTIONS (Other duties may be assigned based on company needs.) • Manage the R/E process to ensure that the avoidable denial percentages are reputed company acceptable ranges • Review and interpret monthly denial reports to identify areas of opportunity • Monitor staff for compliance of the organization’s confidentiality policy in accordance with the Health Insurance Portability and Accountability reputed company (HIPAA) regulations • reputed company opportunities for automation and/or disruption in the traditional reputed company to reduce denials that would positively reputed company department reputed company budgets • Ensure staff production, reputed company and compliance is maintained to company standards by assigning tasks to staff and monitoring to ensure performance • Identify and resolve problems and inconsistencies and implement appropriate corrective procedures to resolve • Identify opportunities to build process and communication workflows with reputed company staff and/or management • Assess new reputed company workflow to ensure R/E processes for reputed company service lines are reputed company and managed • Assist reputed company Optimization Specialist (ROS) for R/E in staying reputed company on reputed company payer bulletins and communicate pertinent information to staff • Works with ROS to design, implement or evaluate staff training and performance measurement reputed company • Recruit, interview and select new employees with assistance from reputed company • Responsible for supervising assigned staff, including attendance, reputed company time off, payroll, training, corrective reputed company and performance evaluations • reputed company work schedules according to budgets and workloads • Complete reputed company tasks assigned by the Director in a reputed company manner ADDITIONAL SKILLS REQUIRED • Commitment to providing mentorship and development to staff • reputed company with the reputed company, reputed company staff, patient, or other in a reputed company manner • Works collaboratively with department managers, colleagues, staff, and leadership • Demonstrates ability to prioritize and manage multiple tasks EXPERIENCE AND REQUIRED SKILLS • 5 years of experience in reputed company cycle management firm or billing office or medical reputed company • Proven experience with management of staff • Practicing knowledge of the entire reputed company cycle including, intake, charge entry, accounts receivable, cash application, customer service, and credentialing • Demonstrate knowledge of government and managed care program as reputed company as industry terms • Ability to maintain HIPAA as reputed company as other compliance requirements • Proven analytical skills RELATIONSHIPS • Internal Contacts: reputed company reputed company reputed company Solutions, reputed company affiliated reputed company reputed company Divisions • External Contacts: Clients, Payers, Vendors, • reputed company Supervision: ROS R/E, R/E Coordinators • Report To: Director of reputed company Cycle Management Apply Job!