Manager overseeing Revenue Cycle Management billing function at Healthy Alliance. Responsible for supervision and training of staff and execution of billing requirements for social care network services.
Responsibilities
Supervise and aid Finance Liaisons and Billing Specialists in Healthy Alliance’s revenue billing cycle management
Oversee the SCN’s HRSN billable service submissions for timely submission and completeness
Monitor SCN partner HRSN billable claims and assure follow up of denied claims including, but not limited to, correction, rebilling, and collection of claims
Manage and oversee remittance advice and the posting of such in the internal and external electronic billing systems
Work with the Director, Revenue Cycle Management to ensure maximization of cash collections through diligent and timely monitoring of all open accounts receivable balances
Review cash receipts and EOBs to ensure that all charges are properly billed and paid
Collaborate with Director, Revenue Cycle Management and internal cross-functional teams to meet partner needs and ensure positive partner experiences
Hold weekly check-in meetings with Finance Liaisons, Billing Specialists, and partners
Identify partner needs and connect to appropriate Healthy Alliance stakeholders
Use Healthy Alliance tools and resources to inform partner communications and meetings
Exercise discretion and professional judgement to maintain project-specific timelines and communicate project expectations and timeliness with internal and external stakeholders
Requirements
Bachelor's degree in a related field required or equivalent experience such as accounting or business-related fields
Minimum 5+ years of work experience in government/health care payor billing and revenue cycle management to include Medicaid and MCOs
Excellent written and verbal communication skills for all levels of management
Strong technical proficiency with Microsoft Office (Excel, Outlook, etc.)
Outstanding communicator with strong oral and written skills
Proven ability to manage multiple projects simultaneously
Strong leadership skills to guide and manage a team
Benefits
Competitive compensation package
Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company-contributed accounts, and more
401K with a company match
Unlimited paid time off after 90 days of employment
Company-sponsored training and certification opportunities
Hybrid employer with flexible work schedules
A workplace that values safety, respect, employee engagement, recognition, and diversity
Manage the Semi Test Demand Management team in the supply chain at Teradyne. Lead a high - performing team and drive strategic demand planning processes to optimize operations.
Medical Review Manager focused on compliance and strategic opportunities in promotional materials for Pfizer. Collaborating across teams to ensure high compliance standards in Denmark and Norway.
Praxismanager overseeing operations in an oncology practice in Rheinbach. Leading a team and ensuring quality patient care during oncological therapy with structured onboarding and training.
Project Manager for construction projects in healthcare facilities at Johanniter GmbH. Leading project initiatives and ensuring compliance with regulations in a flexible work environment.
Safety Manager overseeing safety programs and compliance, conducting inspections and investigations, and providing training. Role involves collaboration with management to uphold safety standards across operations.
Research Manager leading interdisciplinary healthcare research strategies for Women's Health Ultrasound at GE HealthCare. Collaborating with academic and clinical partners to drive impactful research outcomes.
Senior Manager leading a team of Program Managers for Medication Management Solutions deployment. Ensuring customer satisfaction through efficient implementations and cross - functional collaboration.
Senior Sales Lead at Wavestone, driving business growth and client relationships in the insurance sector. Focused on strategic planning and mentoring junior team members while ensuring high - quality service delivery.
HSE Manager at Hitachi Energy developing and maintaining HSE management systems. Ensuring compliance with regulations and leading training programs for employees.