Health Insurance Manager

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.

This position works onsite in our Northbrook, IL corporate office.

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

• High school diploma or equivalent required.

• Bachelor’s degree preferred.

• 3 years of BPO experience preferred

• Strong background and experience in Process improvement LEAN preferred

• 4+years in a leadership role preferred

• Ability to lead a team by demonstrating a positive attitude, openness to change, willingness to help, and respect for others and their ideas

• Excellent verbal and written communication skills

• Detail oriented, reliable, and able to multi-task in a fast-paced, high-volume work environment

• Demonstrated computer literacy and excellent math skills

• Ability to maintain a high level of confidentiality and professionalism

Benefits

• Health
• Dental
• Vision
• 401k & Match
• PTO
• IND1