Manager, Insurance Operations – Hospital Experience
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Job Description
Insurance operations manager overseeing hospital revenue cycle, billing, and insurance follow-up teams for Med-Metrix. Improving performance, quality, client service, and receivables operations.
Responsibilities:
- Oversee day-to-day insurance follow-up and billing operations
- Manage and develop operational teams responsible for client delivery
- Monitor operational performance metrics and identify trends, gaps, and improvement opportunities
- Implement and maintain processes and best practices for insurance follow-up, billing, and receivables management
- Partner with leadership and client teams to address operational issues and improve performance
- Monitor client service delivery and maintain relationships with client contacts
- Support operational plans and initiatives aligned with organizational and client goals
- Ensure appropriate staffing and resource allocation
- Improve productivity, efficiency, quality, and financial performance
- Prepare and communicate operational reports, performance results, and recommendations
- Ensure quality standards are understood, followed, and monitored
- Use and protect patients’ PHI in accordance with HIPAA standards
- Perform other duties as assigned
Requirements:
- Bachelor’s degree in a business-related field required
- 5+ years of experience in hospital revenue cycle operations, insurance follow-up, billing, or receivables management
- 3+ years of experience managing or supervising revenue cycle teams
- Experience managing third-party insurance accounts receivable and follow-up operations
- Demonstrated ability to monitor operational performance, analyze results, and implement process improvements
- Experience developing and maintaining operational reports, metrics, and performance dashboards
- Strong understanding of insurance billing, follow-up, and accounts receivable best practices
- Demonstrated ability to lead teams and achieve operational, quality, and productivity objectives
- Ability to effectively manage competing priorities and drive operational improvements
- Ability to implement and promote change and innovation
- Proficiency in Microsoft Office Suite
- Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes
- Excellent written and verbal communication skills required
- Ability to follow directions, collaborate with others, and handle stress
- Must comply with Information Security and HIPAA policies and procedures
- Must limit viewing of PHI to the minimum necessary and use, protect, and disclose PHI in accordance with HIPAA standards
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