Manager, Denial Prevention at MedAmerica

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Full Time

Start Date

Immediate

Expiry Date

20 Mar, 26

Salary

86900.0

Posted On

20 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Operational Management, Healthcare Services, MS Applications, Notary Public, RCM Operations, Leadership, Analytical Skills, Conflict Management, Financial Analysis, Communication, Interpersonal Skills, Team Collaboration, Data Analysis, Resource Planning, Performance Metrics, Problem Solving

Industry

Hospitals and Health Care

Description

Remote, Nationwide – Seeking Manager, Denial Prevention Everybody Has A Role To Play In Transforming Healthcare At Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside. Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done. Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you. The Opportunity Monitor and report on daily workflow related to operational performance. Manage updates to new and existing contracts in the billing platform. Conduct bi-monthly meetings with billing operations leadership. Host external calls with payers to resolve claims issues. Monitor exception processing to ensure established cycle times are being met. Ability to create and analyze reports. Communicate and present performance metrics to senior leadership or providers. Conduct resource planning to maximize productivity of resources and ensure operational coverage. Hire, train, and develop supervisors and operational personnel. Support Development and IT on system changes/enhancements. Analyze data for patterns and trends and communicate to senior leadership. Foster teamwork and collaboration across departments/operations. Manage operations to meet and/or exceed budgetary allotment. Manage employee performance, payroll, and timekeeping. Resolve escalated patient and employee issues quickly, effectively, and diplomatically. Serves as a Notary Public by acting as a legal witness for signatures where they are needed. Required Experience and Competencies 2+ years managing an operational department required. Experience in healthcare services or social services required. Strong knowledge of MS applications; Word, Excel, and PowerPoint required. Hold an active Notary Public license in the state of California required. Thorough knowledge of an RCM operation preferred. Bachelor’s Degree in health care management, Business Administration, or similar curriculum preferred. Ability to effectively respond to inquiries and complaints from patients, payers, or providers. Ability to effectively present information in group situations to clients, employees, or senior leadership. Ability to define problems, collect data, establish facts, and draw valid conclusions. Strong leadership and analytical skills. Proven experience dealing with conflict management. Ability to read, analyze, and interpret financial information, patient correspondence, and/or contracts. Ability to make sound business decisions. Clear and concise written and verbal communication. Strong interpersonal skills to motivate team members, train, and provide feedback. Ability to manage workflow and meet performance and/or volume expectations. Comply with RCM operational policies and procedures. Ability to work in a fast-paced high-volume environment. Flexible and adaptable to an ever-changing environment. Ability to work within a team environment. Ability to communicate and collaborate across operational departments. Ability to work extended hours or weekends in peak periods. The Community Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars. Monthly wellness events and programs such as yoga, HIIT classes, and more Trainings to help support and advance your professional growth Team building activities such as virtual scavenger hunts and holiday celebrations Flexible work hours Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more Benefits & Beyond* Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future. Superior health plan options Dental, Vision, HSA/FSA, Life and AD&D coverage, and more Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%25 Outstanding Paid Time Off: 3-4 weeks’ vacation, Paid holidays, Sabbatical Student Loan Refinancing Discounts Professional and Career Development Program EAP, travel assistance, and identify theft included Wellness program Purpose-driven culture focused on improving the lives of our patients, communities, and employees We are excited to share the base salary range for this position is $69,520 - $86,900, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company’s annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details. We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity. *Benefits for part-time and per diem vary. Please speak to a recruiter for more information. Applicants only. No agencies please.

Responsibilities

The Manager, Denial Prevention will monitor operational performance, manage contract updates, and conduct meetings with billing operations leadership. They will also resolve claims issues with payers and analyze data for trends to communicate to senior leadership.