Description:
Independent Dispute Resolution (IDR) Customer Service works closely with the VP, IDR to ensure that the organization, as well as its subsidiaries, is well positioned in a rapidly evolving and competitive environment by being an agent for ongoing organizational change within Independent Dispute Resolution. The position is responsible for management and oversight of all IDR Coordinators within ProPeer and Nexus. The Director, Independent Dispute Resolution (IDR) Customer Service is directly responsible for the processes and function of the daily administrative workflow process within the IDR program. Oversees daily operations, which include supervising the IDR team performing all aspects of the IDR business line. The goal is to achieve dispute resolution and financial goals through effective management, communication, and role modeling. The Director, Independent Dispute Resolution (IDR) Customer Service is responsible for carrying out assignments in a manner to assure success in financial management, human resources management, leadership, quality, and operational management objectives. The Director, Independent Dispute Resolution (IDR) Customer Service participates in program development and unit performance improvement. The Director, Independent Dispute Resolution (IDR) Customer Service consistently demonstrates the core values of the organization and serves as a role model to other team members.
Requirements:

KNOWLEDGE AND ABILITIES REQUIREMENTS:

• Knowledge of or ability to learn financial management related to IDR function and reporting, quality improvement processes and human resources management.
• Shall be able to effectively monitor, evaluate and administer the IDR program and make substantiated recommendations regarding resource allocation needs for future planning purposes.
• Ability to identify trends through analysis of practices to improve the overall utilization of resources and cost containment.
• Ability to communicate those trends found through analytical study using a variety of reporting mediums.
• Ability to effectively lead a team or teams.
• Proven ability to recruit, train and motivate personnel to balance staffing strength with profitability and growth.
• Ability to make recommendations for practice changes to improve the IDR efforts of the department.
• Ability to represent IDR in organizational committees as assigned.
• Excellent relationship management skills, including a high degree of professional demeanor and non-aggressive assertiveness.
• Demonstrated ability to problem solve complex, multifaceted situations.
• Ability to engage easily in abstract thought.
• Strong organizational and task prioritization skills
• Strong analytical, numerical, and reasoning abilities
• Participative management type (advocates team concept)
• Well-developed interpersonal skills. Ability to have a good relationship with diverse personalities. Tactful, mature.
• Ability to establish credibility and be decisive – but able to recognize and support the organization’s preferences and priorities.
• Results oriented with the ability to balance other business considerations.
• Computer literacy on Microsoft Office products and database programs
• Ability to construct grammatically correct reports.

EDUCATION AND EXPERIENCE:

• Bachelor’s Degree or equivalent work experience
• Minimum of 5 years of direct subordinate management experience
• Minimum of 5 years of customer service background and experience in healthcare
• Strong knowledge of Medical Terminology and CPT/ICD-9/ICD-10 coding is a plus.
  License and Certification: N/A
  Driving Essential: No

Please refer the Job description for details