Revenue Cycle Claims Manager

🕒 Agosto 7

🌵 Arizona, Florida, +11 estados a mais – Remoto

🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🦬 Montana – Remote 🎰 Nevada – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🏰 Missouri – Remote 🎸 Tennessee – Remote ⛷️ Utah – Remote 🧀 Wisconsin – Remote

💵 $85.904 - $128.856 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 0%

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St. Charles Health System

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 1920

💼 Consultoria

📦 Logística

🏥 Saúde

Consulting • Logistics • Healthcare

O St. Charles Health System é um provedor de saúde abrangente que oferece uma ampla gama de serviços de saúde, incluindo cardiologia, cuidados oncológicos, cuidados primários e saúde comportamental em várias localidades, como hospitais, atendimento de urgência e centros ambulatoriais. Eles se concentram em criar uma comunidade mais saudável, proporcionando cuidados personalizados por meio do portal MyChart, que permite aos pacientes gerenciar compromissos, visualizar registros médicos e pagar contas online. O St. Charles Health System está comprometido com o cuidado centrado no paciente e iniciativas de saúde comunitária, oferecendo programas como assistência financeira, programas para veteranos e militares, e clínicas de medicina de viagem.

Descrição

• Lead the daily operations of claims teams, including billing and insurance follow-up • Develop and maintain department policies, procedures, training manuals, guides, and standard work • Lead or attend huddles, staff meetings, payer meetings, clinical/support department meetings, and educational opportunities • Identify denial trends through audits, claim reviews, data analysis, research, and education • Monitor revenue cycle metrics and implement solutions involving education, IT optimization, departments, payers, and vendors • Serve as point person for claim-level escalations and present solutions to stakeholders • Support the Senior Director with budget development, monitoring, accountability, and operational targets • Manage interviewing, hiring, timekeeping, coaching, mentoring, and performance management • Direct, coach, and monitor direct reports while developing a high-performance team • Ensure direct reports meet compliance and safety requirements • Oversee customer service delivery that is timely, efficient, accurate, and promotes goodwill • Collaborate on process improvements using Lean and Value Improvement Practice concepts and tools • Maintain a safe environment and comply with applicable laws, regulations, policies, procedures, and corporate integrity requirements

🎯 Requisitos

• Bachelor's degree in a related field required; a combination of education and relevant prior experience may substitute in lieu of a degree • Five years of applicable revenue cycle and/or patient financial services experience required • Two years of finance experience may substitute for two years of required experience • One year of leadership experience required • Ability to wear required Personal Protective Equipment (PPE) • Ability to travel to business functions, trainings, meetings, and all SCHS worksites • Advanced knowledge of healthcare industry, billing and collection practices, revenue cycle processes, and payer reimbursement methodologies • Strong communication skills, including public speaking and technical writing • Demonstrated research and problem-solving skills • Ability to operate and make decisions independently • Process improvement experience/skills • Intermediate skills in Microsoft Office applications: Excel, OneNote, Outlook, Teams, PowerPoint, and Word • Preferred: Epic and vendor management experience • Preferred: applicable revenue cycle certification including coding, compliance, and billing

🏖️ Benefícios

• Competitive Salary • Comprehensive benefits including Medical, Dental, Vision for you and your immediate family • 403b with up to 6% match on Retirement Contributions • Generous Earned Time Off • Growth Opportunities within Healthcare • Remote work from an approved state • Travel to business functions/trainings/meetings and SCHS worksites