CRS Manager

🕒 3 dias atrás

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

🦅 Patrocina Visto H1B

Esta empresa já patrocinou vistos H1B no passado.

👻 Score fantasma 10%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

Candidatar-se

Encontrar Vagas Remotas Similares

Configurar Alerta de Email para Novas Vagas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

Innovaccer

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2014

🏥 Saúde

💼 Consultoria

📦 Logística

💰 $150.000.000 Series E em 2021-12

Healthcare • Consulting • Logistics

A Innovaccer é uma líder em tecnologia da saúde, especializada em uma plataforma de inteligência em saúde movida por IA, projetada para melhorar os resultados dos pacientes, simplificar as operações dos provedores e aprimorar o cuidado baseado em valor. A plataforma agrega dados de múltiplas fontes para fornecer insights acionáveis que ajudam os provedores de saúde a gerenciar populações de forma eficaz e reduzir custos associados a tarefas administrativas. A Innovaccer visa transformar a entrega de saúde através da ativação de dados e soluções integradas que capacitam organizações a alcançar melhor desempenho clínico e operacional.

Descrição

• Begin at the Claims Resolution Specialist level to gain a comprehensive understanding of current workflows and processes • Meet all CRS productivity standards while managing a team of Claims Resolution Specialists supporting the client account • Supervise and support the CRS team, answer claim-related questions, and oversee daily workflow • Serve as a resource for team members and promote operational efficiency • Distribute and monitor daily worklists and ensure timely, accurate completion of assignments • Conduct daily productivity reviews and report team members who do not meet performance standards • Perform random claim audits to identify training needs, improve processes, and streamline claim resolution • Manage team ADP tasks, including attendance, missed punches, and PTO approvals with workload coverage plans • Develop and refine workflows as needed or directed by leadership • Collaborate with management on accounts receivable strategies • Train and participate in hiring and onboarding new team members • Review AR reports, identify root causes of outstanding claims or denial trends, communicate issues, and recommend solutions • Use the Month End deck to connect daily work with overall performance and identify focus areas • Use Excel to track trends, compile data, and build client-ready reporting • Use Activity Wizard to analyze worklists, identify workflow gaps, and investigate claim-level issues • Assist with custom Excel reports and data extracts for client and leadership reporting • Maintain responsive, professional client communications and escalate uncertain requests to the Account Manager • Represent the team during client interactions and internal calls • Lead or participate in project management using shared networks, Wrike, spreadsheet trackers, and the client tracking sheet • Track and complete action items from calls and meetings • Create agendas for monthly regional calls, lead meetings, and document key points and action items • Prioritize work during the final week of each month to optimize month-end performance • Assist with monthly reports and attend AR/client meetings as needed • Develop and maintain weekly Operations meeting agendas, lead meetings, and document minutes • Drive accountability for follow-ups and completion of initiatives • Hold employees to required standards and implement Performance Improvement Plans when guidelines are not met • Maintain working relationships with leadership and support company improvement efforts • Demonstrate competency as a claims resolution specialist for a large-scale, multi-specialty, multi-site U.S. healthcare organization • Perform other duties as assigned

🎯 Requisitos

• 5+ years of experience in claims resolution or medical billing • Minimum of 5 years of documented experience on the Athena billing platform • Cerner and NextGen experience a plus • Complete understanding of follow-up processes • Solid background in accounts receivable and Revenue Cycle policies and procedures • Experience in a medical billing environment with protected health information and HIPAA compliance • Excellent communication skills • Excellent systems experience and acuity, including EMR, billing, and collection systems • Multi-system and multi-specialty experience preferred • Proficiency in Microsoft Office Suite, including Word and Excel • Bachelor’s degree • Ability to communicate orally and in writing clearly and straightforwardly • Ability to communicate effectively with senior leadership and company personnel • Ability to plan, manage, and lead projects effectively • Ability to make decisions and solve problems under pressure • Ability to prioritize and organize effectively • Ability to demonstrate judgment and initiative and accomplish job duties • Ability to work independently • Strong business acumen • Strong communication skills, including public speaking • Employees based in the U.S. must satisfy employment eligibility verification requirements

🏖️ Benefícios

• 20 days of fixed paid time off per year, in addition to company holidays • Generous parental leave • Monetary incentives and company-wide recognition for impact and dedication • Medical, dental, and vision insurance • 100% company-paid short- and long-term disability insurance • 100% company-paid basic life insurance • Discounted legal aid • Pet insurance