Acclara Solutions Looking for Operations Manager at Remote Full Time

The Operations Manager oversees the insurance service area and is responsible for the performance of the staff to ensure that all collection activities produce meaningful revenue for clients and Acclara. This individual is responsible to develop, or contribute in the development of, policies, procedures, and process flows that maximize the patient service accounts receivable efforts. The manager must have the ability to generate reports, meet timelines, and establish and/or execute protocols that meet or exceed the objectives of the organization regarding cash collections, production and quality of service. This individual primarily oversees the Operations Supervisors and related patient service teams; interfaces with clients; and is an integral part of the senior management team.

Responsibilities Operations Manager, Insurance Services

Core responsibilities include but are not limited to the items listed below:

Statistical Reporting

• Generates/Compiles Production Reports
• Generates/Compiles Account Receivable Reports
• Generates/Compiles Employee Personnel Reports

Employee Management

• Ensures Performance Reviews are Completed Timely
• Provides Written and Verbal Feedback to Team Regularly
• Motivates Leaders to Enable Team to Exceed Goals
• Monitors Attendance – Minimum Attendance Occurrences
• Ensures Proper Shift Coverage in Accordance to Department Expectations
• Assists with Hiring – Interviewing and New Hire Development
• Minimum Terminations
• Ensures Professional Conduct Among Team
• Develops/Identifies Training Needs and Career Development of Team

Team Performance

• Establishes and Measures Production of Team
• Ensures Production of Team is Above the Department Standard
• Ensures Assigned Accounts are Worked Timely
• Monitors Quality of Documentation of Accounts
• Monitors Quality of In-Coming & Out-Going Paperwork
• Monitors Quality of In & Outbound Calls to ensure proper follow-up and HIPAA & FDCPA standards are being followed
• Ensures Patient and Client Satisfaction

Project Management

• Sets Deadlines
• Assigns Responsibility
• Problem Solving
• Training
• Responsible to set and or follow the project design, preparation, and delivery of accurate and timely reports
• Management of client data/tools through project implementation—includes design, test and reporting
• Troubleshoots, analyzes and resolves interface problems
• Monitors standards and procedures
• Assists with the development of detailed project management programs
• Analyze, prepare and implement data policies, procedures and user documentation
• Performs process studies, researches and analyzes all aspects of data collection, storage and reporting using statistical, analytical and modeling techniques

Client Management

• Ensures client satisfaction by addressing issues, concerns and questions
• Maintains favorable relationships with all clients
• Ensures all deliverables exceeds client expectations

Skills for role title

• Staff Management
• Excellent verbal and written communication skills
• Reliable attendance record
• Be familiar with the Fair Debt Collection Practices Act (FDCPA) and the Health Insurance Portability and Accountability Act (HIPPA), and adhere to them always
• Knowledge of EOBs, CPT & ICD-10 codes, HCFAs, UB92s, HCPCS, DRGs and authorizations/referrals
• Excellent problem-solving skills
• Ability to learn / stay abreast of relevant policies
• Computer literate / able to operate beyond basic functions
• Ability to type a minimum of 30 wpm
• Detail oriented and well organized
• Outstanding listening skills
• Ability to perform under pressure in a calm manner
• Basic math skills
• High degree of accuracy
• Positive attitude
• Flexible
• Team player
• Obtain Claim Status via the Telephone, Internet and/or Fax
• Review and Interpret Contractual Terms for Managed Care, Commercial, Medicare, Medicaid and Workers’ Compensation
• Ability to Assign Workflows and/or Strategies
• Obtain supporting documentation as required for validation and/or account resolution
• Billing via Electronic and Hardcopy Submission
• Resolve Patient Inquiries/Requests in 24 Hour Period
• Training of Team Members
• Other duties as assigned

Qualifications for Operations Manager, Insurance Service

• Minimum 2 years of high volume call center experience required
• Minimum 2 years of management experience required
• High school diploma or equivalent.

COMPETITIVE PAY AND BONUS OPPORTUNITIES AVAILABLE.