
Operations Manager
3 days ago
Operations Manager, Insurance Denials
Job Summary:
The Operations Manager for Insurance Denials will oversee the correction of eligibility denials using various insurance portals. This role requires a strong understanding of US Healthcare insurance and the ability to work efficiently in a fast-paced environment.
Key Responsibilities:
- Manage workflow and delegate tasks effectively
- Assess team performance and identify areas for improvement
- Train new hires on daily tasks and ensure they understand their responsibilities
- Set goals for team members and ensure compliance with company vision and plan
- Report performance records and evaluations to HR and upper management as needed
Requirements:
- Bachelor's Degree or equivalent required
- One year of experience handling patient health information, particularly demographic entry
Skills:
- Ability to read, understand, and apply state/federal laws, regulations, and policies
- Strong communication skills for interacting with diverse personalities in a professional manner
- Flexibility and adaptability in a collaborative and fast-paced environment
- Basic computer, telephone, internet, copier, fax, and scanner skills
- Basic touch 10-key skills and math skills
- Understanding and compliance with company policies and procedures
- Strong oral, written, and interpersonal communication skills
- Effective time management and organizational skills
- Proficiency in Outlook, Word, Excel (pivot tables), and database software
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