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Client Manager, Denial Management - Remote

Med-Metrix

Garden City, NY(remote)

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JOB DETAILS
SALARY
$75,000–$80,000 Per Year
JOB TYPE
Full-time
SKILLS
Authentication, Benchmarking, Customer Support/Service, Employee Orientation, Exceeded Sales Goal, Genetics, HIPAA (Health Insurance Portability and Accountability Act), Information/Data Security (InfoSec), Interpersonal Skills, Leadership, Military, Needs Assessment, Office Equipment, Operational Improvement, People Management, Performance Analysis, Performance Management, Performance Metrics, Performance Reviews, Peripheral Hardware, Physical Demands, Physical Security, Quality Control, Quality Management, Quality Metrics, Sales Management, Smartphones, Staff Training, State Laws and Regulations, Team Lead/Manager, Team Player
LOCATION
Garden City, NY
POSTED
30+ days ago
Job PurposeThe Client Manager - Denial Management will provide leadership to Denial Management leadership and their teams, including supervision of staff, reviewing of processes, and providing recommendations for improvement of operations. Goal is to meet or exceed Denial Management KPI benchmarks and client specific KPI's. Maintain or exceed team productivity and quality standards. Work with Director to understand and communicate the root cause of denials and provide data to assist the client to implement effective processes to correct actions. In this position, the Manager assists with recruiting, interviewing, and orienting new employees, monitoring and evaluating staff performance, and ensuring all employees have the tools and training for optimal productivity.Duties and ResponsibilitiesProvide management and supervision related to educating and training staff, evaluating staff performance and monitoring productivityInterview, hire, train, evaluate, and develop staff where applicableDevelop and maintain quality control programs, including in-depth and individual performance reviewsOrient new hires and provide in-services and training, continuing education, and development related to those functional areas of responsibilityPlan, organize and direct overall operations of the Denial Management team assigned as it relates to appeals and follow upWork in conjunction with Director, Client Management, to set and manage target performance levelsActively engage with client(s) to understand needs and deliverables with the goal of creating a true partnershipEnsure that team stays current with client requirements and industry requirements and/or trendsMaintain an overall objective of high overturn rates, minimization of inventory and accurate client reportingActively engage with and manage Denial Management team, including routine productivity and quality reviewsAssure that team is meeting follow up quality and productivity standardsIdentify denial trends, including overturn rates, and make recommendationsUse, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standardsQualificationsBachelor's degree or equivalent combination of education and experience3+ years' experience managing and leading at a supervisory level or the equivalentAbility to work well individually and in a team environmentMust be reliable, responsible, goal oriented and flexibleResults drivenExcellent interpersonal, communication and organizational skillsHigh degree of integrity including ability to successfully deal with sensitive or confidential informationAbility to exhibit poise, composure and confidence when confronting stressful or high¬ pressure situationsWorking ConditionsMust possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes. Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.Work Environment: The noise level in the work environment is usually minimal.Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

About the Company

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Med-Metrix

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