Thank you for considering a career at Ensemble Health Partners!
The Manager of Follow-Up manages all insurance follow-up and no response activities and is responsible for performance and effectiveness of the department. The Manager will be responsible for implementing short and long-term plans and objectives to improve revenue and reduce denials. Additionally, they will be responsible for working with insurance companies to identify reasons for delayed payment for services and additional information requests. The Manager will work with Denials Management to identify and correct denials trends related to follow-up activities. They will empower staff to develop methods of process improvement, including planning, setting priorities, conducting systematic performance assessments, implementing improvements based on those assessments and maintaining achieved improvements.
Manages all follow-up activities performed by staff across Mercy Health. Staff responsibilities include contacting insurance companies to determine reasons claims are outstanding, understanding and correcting any issues with claims as described by insurance companies to facilitate payment, providing additional information as requested by insurance companies to ensure timely payment of claims, identifying trends in delayed or denied payments by insurance companies to remediate issues and ensure timely payments when billed.
Responsible for interviewing, hiring, staffing, performance management and development of staff. Counsels and disciplines employees when necessary in accordance with department and/or organizational policies. Develops, updates and implements job standards, job duties, departmental policies and performance appraisals for all areas of responsibility.
Develops and manages departmental budget. Prepares monthly reports as requested. Establishes departmental goals with the staff to optimize performance and meet budgetary goals while improving operations to increase customer satisfaction and meet financial goals of the organization.
Collects, interprets and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals. Works with internal and external customers to make key decisions, impacting either the organization or an individual patient. Works closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved.
Assists in strategic planning and performs ongoing process improvement evaluation. Reviews, updates and implements policies and procedures to support the vision and goals.
Performs other duties as assigned
Required Minimum Education:
4 year/ Bachelors Degree
Minimum Years and Type of Experience:
Three years’ management experience in healthcare industry.
Other Knowledge, Skills and AbilitiesRequired:
Experience in physician and hospital operations, compliance and provider relations.
Scheduled Weekly Hours:
40
Work Shift:
All (United States of America)
We’ll also reward your hard work with:
Great health, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Paid time off
Tuition reimbursement
And a lot more
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact our Human Resources Department at 877-692-7780 orRecruitment@ensemblehp.com . This department will make sure you get connected to a Human Resources representative that can assist you.?
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