CRS Manager

🔥 14 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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Innovaccer

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2014

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 $150M Series E on 2021-12

Healthcare • Consulting • Logistics

Innovaccer is a healthcare technology company dedicated to transforming how healthcare information is utilized and accessed. They provide a comprehensive Health Cloud that aims to accelerate digital transformation for providers, payers, and life sciences companies by offering unified healthcare data and analytics. Innovaccer leverages artificial intelligence to automate tasks, process medical data, and generate insights to improve clinical and financial outcomes. Their solutions focus on integrating and optimizing healthcare systems, promoting value-based care, improving patient engagement, and reducing the administrative burden on healthcare providers. Innovaccer's platform supports various healthcare stakeholders through advanced data activation, analytics, and streamlined workflows, striving to improve healthcare delivery and patient care globally.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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