Health Insurance Manager
USA Clinics Group, Mexico

USA Clinics Group is looking for a Manager to join our team! We are a multistate, multispecialty, care provider with over 200 clinics across the nation. The successful candidate will thrive in a high energy, tech savvy, multitasking environment. Insurance Department Manager will collaborate with Physicians, SVP of Revenue Cycle, and other members of the management team. They will serve as a critical link between providers, payers, and patients; and will directly oversee and manage Clinical Document Specialists and Administrative staff.

Responsibilities:

• Monitor and manage productivity and performance of assigned employees including daily/weekly/monthly department metrics to Senior Leadership and provide reporting and action plans for improvement.
• Maintains positive leadership and gives frequent performance feedback to team members and invites two-way communication.
• Coaches established employees when needs are identified, holding employees accountable for results through coaching and development of action plans.
• Monitor Prior Authorization and Eligibility automation processes
• Assist IT team in developing new automation processes for authorization submission/tracking and insurance verification
• Work closely with billing team for claim denials related to authorization and eligibility
• Produces productivity and error reports to assess staff.
• Prioritize work to maximize turn-around time.
• Contacts insurance plans to determine eligibility, prior authorization and obtain coverage and benefit information.
• Documents findings thoroughly and accurately.
• Performs training with organizational staff on procedures for requesting, documenting, and processing prior authorizations.

Requirements

Benefits

Job Rewards and Benefits