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| Designation: |
Manager of 3rd Party Billing / Insurance in Hialeah, FL |
| Department: |
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Administrative, Healthcare, Insurance, Medical |
| Job type: |
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Full time |
| Location: |
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Hialeah, Florida |
| Salary: |
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Not specified
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| Description: |
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FILLED
We are Searching for a Manager of 3rd Party Billing / Insurance with Managed Care Policies and Procedures Experience!
The Manager of 3rd Party Billing / Insurance is responsible for providing claims, customer service support to all the company's locations and associated doctors. The Manager supervises the Managed Care team in Hialeah, FL and is responsible for claim filing, accounts receivable, payments and provider file maintenance for all company districts. The Manager is responsible for ensuring that the entire company network is informed and compliant with all Managed Care policies and procedures.
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| Responsibilities: |
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The Qualifications of the Manager of 3rd Party Billing / Insurance are as Follows:
Management experience a must.
Strong billing and coding background with training components.
Bachelors’ degree in appropriate discipline.
Experience in Health Care Insurance Administration, Provider Relations or Practice Administration preferred.
Vision care experience desirable.
Minimum of 3 years Managed Care experience, either in a company or office setting.
Strong customer service skills.
Must have strong computer skills and ability to learn company's system.
The Responsibilities of the Manager of 3rd Party Billing / Insurance are as Follows:
Heads the Claims, Customer Service and QI Departments to address and resolve operational issues.
Manages the team of Accounts Receivable, Claims and Customer Service personnel.
Supervises claim filing, accounts receivable management, compliance and administration for all company stores.
Manages the payment processing, posting and accounting process for all third party and insurance plans.
Ensures compliance with all state, federal and insurance plan guidelines for all managed care processes.
Oversees the maintenance / administration of the insurance program using resources and communication tools available (ex. Managed Care Portal).
Participates in a broad spectrum of quality improvement activities.
Collaborates with departmental management on CQI activities.
Oversees the maintenance of provider databases.
Ensures compliance with timeliness standards on state and federal regulations and accreditation requirements as appropriate for state/ federal agencies and insurance plans.
Provide education, announcements, or requested assistance to stores.
Handle provider complaints.
Oversees the contracting process for company's stores.
Our client offers a full benefits package for the right Candidate.
Best Headhunters is a team oriented search firm. If you are qualified for a position we are presently working on, there is never a fee to the job seeker for our representation. Plus, you will receive the benefit of our heahdunters extensive experience and our long-term relationships with many of America's leading companies.
We offer career coaching, and will assist you every step of the way in your goal to advance your career. For additional information on Best Headhunters and our ever-expanding employment opportunities, visit our Web sites at: www.bestheadhunters.com or www.bestinsurancejobs.com
We encourage candidates to be pro-active, especially in light of today's uncertain job environment in which mergers and downsizing are a common reality. This underscores the importance of placing your career in the hands of a search firm with your best interests at the core of its daily mission.
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| Key Words: |
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Key Words: insurance, medical, coding, billing, managed care
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| Contact: |
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Admin |
| Company: |
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BestHeadhunters.com |
| Experience: |
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5 Year(s) |
| Job code: |
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1587 |
| Posted on: |
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08 - 24 - 2010 |
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