RCM Healthcare Claims Denials Manager
RCM Healthcare Claims Denials Manager
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$ 86300 - 118700
1 Vacancy
Job Description
Become a part of our caring community and help us put health first
This is a hybrid position; 1 day in office/4 days remote. Must live in either the Atlanta GA market or Kansas City MO or Kansas City KS markets.
As the RCM Manager you will:
Manage the collection and billing operations and develop credit/collection strategies to maximize profits and minimize loss.
Ensure that maintenance strategies of accounts receivable past due balances are within stated objectives.
Interpret to customers and field personnel Company policies/practices/procedures related to billing processes accounts receivables and financial issues regarding non-clinical processes and clinical specifications impacting accounts receivable.
Manage the analyses/report preparation of trends of consolidated account receivables. Report information to appropriate line management.
Assume responsibilities of Director as assigned during Directors absence.
Prepare departmental budget and monitor expenses to ensure compliance with approved budgetary constraints.
Develop department tools and training programs along with the Training Specialist to encourage growth and development. Analyze/monitors their implementation.
Use your skills to make an impact
Required Experience/Skills:
Bachelors Degree or the equivalent preferred
A minimum of five years healthcare related billing/collection experience preferred
At least three years in a management role generally required
Strong knowledge of accounts receivables procedures and general accounting principles required
Excellent organizational and verbal/written communication skills
Additional Information:
To ensure Home or Hybrid Home/Office employees ability to work effectively the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless wired cable or DSL connection is suggested.
Satellite cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California Illinois Montana or South Dakota will be provided a bi-weekly payment for their internet expense.
Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
CenterWell Home Health offers a variety of benefits to promote the best health and well-being of our employees and their families. Our competitive and flexible benefits surround you with support the same way you do for our patients and members including:
Health benefits effective day 1
Paid time off holidays and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills knowledge experience education certifications etc.Description of Benefits
Humana Inc. and its affiliated subsidiaries (collectively Humana) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits Humana provides medical dental and vision benefits 401(k) retirement savings plan time off (including paid time off company and personal holidays volunteer time off paid parental and caregiver leave) short-term and long-term disability life insurance and many other opportunities.
About us
About CenterWell Home Health: CenterWell Home Health specializes in personalized comprehensive home care for patients managing a chronic condition or recovering from injury illness surgery or hospitalization. Our care teams include nurses physical therapists occupational therapists speech-language pathologists home health aides and medical social workers all working together to help patients rehabilitate recover and regain their independence so they can live healthier and happier lives.About CenterWell a Humana company: CenterWell creates experiences that put patients at the center. As the nations largest provider of senior-focused primary care one of the largest providers of home health services and fourth largest pharmacy benefit manager CenterWell is focused on whole-person health by addressing the physical emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM) CenterWell offers stability industry-leading benefits and opportunities to grow yourself and your career. We proudly employ more than 30000 clinicians who are committed to putting health first for our teammates patients communities and company. By providing flexible scheduling options clinical certifications leadership development programs and career coaching we allow employees to invest in their personal and professional well-being all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race color religion sex sexual orientation gender identity national origin age marital status genetic information disability or veteran status. It is also the policy of Humanato take affirmative action to employ and to advance in employment all persons regardless of race color religion sex sexual orientation gender identity national origin age marital status genetic information disability or protected veteran status and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions including but not limited to recruitment hiring upgrading promotion transfer demotion layoff recall termination rates of pay or other forms of compensation and selection for training including apprenticeship at all levels of employment.
Required Experience:
Manager
Employment Type
Full-Time
