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SalaryIronwood Cancer & Research Centers has beautiful state-of-the-art integrated Cancer and Women's Centers, with locations strategically located throughout the Valley. Each one provides a superior cancer care environment with a full spectrum of cancer related services for patients. Our multi-disciplinary team approach includes surgical oncology, medical oncology, radiation oncology, women's centers, diagnostic imaging services, social service support, nutritionist, integrative services, and genetic counseling.
Mission Statement: To serve the community by providing quality, comprehensive cancer care which respects the values and needs of each individual.
Overview: The Insurance Verification Manager is responsible for front-end financial processes in clinics and the central business office. The Insurance Verification Manager (Patient Access) has direct oversight and manages the day-to-day operations of the Insurance Verification staff as part of the revenue cycle. Performs job duties and responsibilities in compliance with company policies and procedures. Performs other duties and responsibilities as required.
Essential Duties and Responsibilities:
- Manages the day-to-day operations of the Insurance Verification team
- Creates benchmarks/goals for the department and takes ownership of key performance indicators of the department.
- Mentor, train and ensure that Supervisors and Leads perform all of their duties and instruct staff.
- Proactively engages in process improvement. Identifies needs, updates and improves work processes and methods. Provides opportunities for strategic departmental improvements and communicates recommendations regularly.
- Weekly management reports to RCM Manager and Senior Leadership.
- Performs other duties as directed by supervisor, administrator, or physicians.
Minimum Qualifications
- Strong understanding of insurance denials and EOBs.
- Extensive knowledge of insurance coverage(s) and benefits.
- Knowledge of medical terminology.
- Knowledge of infusions, hospital, SNF, LTC and hospice in relation to insurance benefits.
- Knowledge of CPT, ICD-9, ICD-10, HCPCS required.
- Knowledge of basic mathematics and accounting.
- Strong knowledge of Microsoft Excel and Word.
Preferred Qualifications
- Extensive knowledge of oncology drugs, compendia guidelines, radiation and radiology procedures to direct staff and answer questions.
- Strong understanding of Accounts Receivable.
- Experience with manufacturer/drug company patient assistance programs.
- Strong understanding of basic HR policies, employee corrective action and performance review processes.
- Experience with performance dashboards, analytics and auditing.
- G4/Centricity
Education and/or Experience:
- 10 years of medical billing experience minimum.
- 5 years of healthcare management experience
- 5 years minimum direct oversight of Insurance Verification Staff.
- Preferred Bachelor’s degree or Associate degree plus equivalent experience.
