PROCESSING APPLICATION
Hold tight! We’re comparing your resume to the job requirements…
ARE YOU SURE YOU WANT TO APPLY TO THIS JOB?
Based on your Resume, it doesn't look like you meet the requirements from the employer. You can still apply if you think you’re a fit.
Job Requirements of Dispute Resolution Manager:
JOB REQUIREMENTS (Education, Experience, and Training):
* Minimum 2 years experience in the healthcare industry with a minimum of 1 year in a leadership role with people management responsibilities.
* Required licensures, professional certifications, and/or Board certifications as applicable.
* Excellent organizational, analytical and independent decision-making skills
* Demonstrated problem solving skills with the ability to manage multiple priorities and meet associated timelines
* Knowledge of provider billing and collection practices.
* Knowledge of effective negotiations principles.
* Knowledge of commonly used medical data resources.
* Communication (verbal and written), managerial, interpersonal, organizational, time management, customer service/sales, problem solving, leadership, strategic, analytical, tactical and execution skills.
* Ability to prioritize and manage time.
* Ability to make decisions using limited or incomplete data.
* Ability to use software, hardware, and peripherals related to job responsibilities, including advanced proficiency with MS Office
BENEFITS
We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.
Your benefits will include:
- Medical, dental and vision coverage with low deductible & copay
- Life insurance
- Short and long-term disability
- 401(k) + match
- Generous Paid Time Off
- Paid company holidays
- Paid Parental Leave
- Tuition reimbursement
- Flexible Spending Account
- Employee Assistance Program
- Summer Hours
As an Equal Opportunity Employer, the Company will provide equal consideration to all employees and job candidates without regard to sex, age, race, marital status, sexual orientation, religion, national origin, citizenship status, physical or mental disability, political affiliation, service in the Armed Forces of the United States, or any other characteristic protected by federal, state, or local law.
Do you meet the requirements for this job?
Dispute Resolution Manager
JOB SUMMARY: This position is responsible for the oversight and direction of the Arbitration solution. This position is responsible for providing leadership and decision making to ensure high quality service is provided to account management, clients, providers, IDR entities and CMS client's internal customers and vendor relationships. Also responsible for managing or overseeing the management of all activities with the associated units, including developing and implementing policies and procedures on all related systems and work flows to ensure achievement of the department's service and quality standards. The Manager is responsible for directing staffing, goal tracking and compliance with policies and procedures to ensure smooth and efficient operations. This job will also interact with other organizational departments and pariticapte in client calls.
JOB ROLES AND RESPONSIBILITIES:
1. Direct management of performance to ensure competent staff delivers quality and timely results. This includes training, mentoring, motivating, and overseeing staff performance.
2. Develop, implement and manage policies and procedures based on current and future trends and legislative requirements. Stay abreast of industry and/or customer changes and communicate as appropriate.
3. Compile, analyze, and report on trends to include performance improvement initiatives and exceptional client delivery.
4. Identify opportunities for performance improvement and operational efficiencies.
5. Act as a subject matter expert internally for the Team and other departments within the Company.
6. Select, develop, and evaluate staff to ensure the efficient operation of department.
7. Collaborate, coordinate, and communicate across disciplines and departments.
8. Ensure compliance with HIPAA regulations and requirements.
9. Demonstrate Company's Core Competencies and values held within.
10. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary. Perform weekly Soft Audits on cases work by team members and address performance issues.
JOB SCOPE:
The Manger provides input to make critical business decisions, including staffing and process improvement, and impacts day-to-day operations through the oversight of Dispute resolution and providing direction to staff on individual cases. The incumbent operates with considerable latitude for resolving Disputes and uses an extensive range of knowledge to complete job responsibilities. The incumbent manages staff and helps provide thorough and appropriate responses to clients and providers to meet the goals of the department. This role has the authority to recommend and implement appropriate policies, procedures and controls to assure compliance with applicable contractual provisions, regulations, and legislation. This position manages others and has the authority for all HR actions (hiring, firing, discipline, training, etc)
COMPENSATION
The salary range for this position $75,000-$85,000 year. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.
Job Requirements:
JOB REQUIREMENTS (Education, Experience, and Training):
* Minimum 2 years experience in the healthcare industry with a minimum of 1 year in a leadership role with people management responsibilities.
* Required licensures, professional certifications, and/or Board certifications as applicable.
* Excellent organizational, analytical and independent decision-making skills
* Demonstrated problem solving skills with the ability to manage multiple priorities and meet associated timelines
* Knowledge of provider billing and collection practices.
* Knowledge of effective negotiations principles.
* Knowledge of commonly used medical data resources.
* Communication (verbal and written), managerial, interpersonal, organizational, time management, customer service/sales, problem solving, leadership, strategic, analytical, tactical and execution skills.
* Ability to prioritize and manage time.
* Ability to make decisions using limited or incomplete data.
* Ability to use software, hardware, and peripherals related to job responsibilities, including advanced proficiency with MS Office
BENEFITS
We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.
Your benefits will include:
- Medical, dental and vision coverage with low deductible & copay
- Life insurance
- Short and long-term disability
- 401(k) + match
- Generous Paid Time Off
- Paid company holidays
- Paid Parental Leave
- Tuition reimbursement
- Flexible Spending Account
- Employee Assistance Program
- Summer Hours
As an Equal Opportunity Employer, the Company will provide equal consideration to all employees and job candidates without regard to sex, age, race, marital status, sexual orientation, religion, national origin, citizenship status, physical or mental disability, political affiliation, service in the Armed Forces of the United States, or any other characteristic protected by federal, state, or local law.