Senior Claims Consultant managing complex life insurance claims at Zurich. Supervising claims assessors and ensuring compliance with claims procedures in a values - driven organization.
About the role
- Manager of Revenue cycle - Collections at Medtronic focused on improving patient financial services. Leading teams and driving initiatives for efficiency and revenue in diabetes care.
Responsibilities
- Responsible for the operational management of the multiple processes within Patient Financial Services, Diabetes
- Support the Sr Manager / Director at conducting end-to-end business analysis and review of production, revenue, and cash to enhance strategies and deliver revenue targets
- Lead, interact and collaborate with the onshore and offshore supervisors along with their teams who provide eligibility and insurance verification support to product sales teams
- Develop and execute strategic work plans and directives, driving initiatives across onshore and offshore teams to increase productivity, efficiency, revenue, and cash flow while reducing PFS operational costs
- Manage assigned processes, lead weekly / monthly process reviews with senior leadership
- Lead quarterly and annual business planning, including budgeting, forecasting, and resource allocation.
Requirements
- Bachelor’s degree and minimum of 5 years relevant experience, or advanced degree with a minimum of 3 years prior relevant experience
- Business or Accounting major is preferred
- 15+ years’ experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts
- 10+ years of experience leading large US Healthcare accounts receivable portfolio
- Excellent interpersonal skills to communicate effectively with internal and external customers written and verbally
- Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations
- Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims
- Advanced experience with various insurance plans offered by both government and commercial insurances
- Experience with medical billing and collections terminology – CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance
- Good operating knowledge of Microsoft programs, including Word, Excel, Visio, Power Point, and Teams
- Ability to use Excel to generate reports, use of pivot tables and other features to analyze and present data.
Benefits
- Health, Dental and vision insurance
- Health Savings Account
- Healthcare Flexible Spending Account
- Life insurance
- Long-term disability leave
- Dependent daycare spending account
- Tuition assistance/reimbursement
- Simple Steps (global well-being program)
- Incentive plans
- 401(k) plan plus employer contribution and match
- Short-term disability
- Paid time off
- Paid holidays
- Employee Stock Purchase Plan
- Employee Assistance Program
- Non-qualified Retirement Plan Supplement
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