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Manager, Healthcare Correspondence

Company: Performant Financial Corporation
Location: San Angelo
Posted on: June 8, 2021

Job Description:

Manager, Healthcare Correspondence

Job Code:2021-50-6A-036 Location:San Angelo, TX Status:Regular Full Time Responsibilities: The Manager, Healthcare Correspondence has responsibility for managing teams and department activity to ensure healthcare operations and client correspondence (incoming and outgoing) needs are met with high quality. Demonstrates knowledge and expertise in carrying out the following scope of responsibilities:

  • Oversees the daily department production activity, communicates priorities, monitors department workflow, and adjusts accordingly based upon changing business needs.
  • Contributes to the development of best practices and is responsible for ensuring that flow-down of changes in client, internal and/or regulatory requirements are implemented accordingly.
  • Monitors workflow, production and quality KPIs to ensure team is operating efficiently, with high quality, and meeting business needs.
  • Drives research, analysis and resolution of complex questions, issues, and needs that arise.
  • Provides answers and handles escalated questions and requests from internal and external stakeholders and resolves issues via phone and written correspondence.
  • Develop and implement modifications to workflow and procedures based upon changes in client and/or business requirements.
  • Interfaces with other internal departments and subject matter experts as needed to resolve issues and communicate changes in requirements, systems, processes and procedures, as well as supports transition and adaptation by the team in a positive and effective manner.
  • Develops tools and resources, and ensures proper training and support to new team members as well as all team members for any new or changing workflows or requirements.
  • Drives continuous improvement efforts and develops/delivers tools and training to increase knowledge, efficiency, and consistency of department output.
  • Establishes and communicates goals and expectations to team(s).
  • Manage team(s)s of correspondence staff in accordance with policies, laws, and in the best interest of the company; may manage teams through direct report supervisors.
  • Regularly monitor staff performance and provide direction, constructive feedback, coaching, and training; provides guidance and support to supervisors for the same. Develops and delivers corrective action as required in collaboration with HR.
  • Collaborates with next level management and HR to ensure staffing levels to meet business needs.
  • Analyzes individual staff skills/capabilities, performance, attendance, compliance, work behaviors and adherence to policies; identifies individual and group issues and trends; communicates results and recommendations to the next level of management; and partners with management and HR to address accordingly
  • Promotes collaboration and teamwork in order to ensure efficient, effective, team performance.
  • Conducts regular meetings and communicates effectively with the team.
  • Reviews and approves scheduled time off requests, timecards, and other direct supervisory responsibilities as assigned through the HR/Payroll systems. Ensures team attendance is managed effectively in accordance with policies and procedures.
  • Follows and complies with company policies, processes and procedures.
  • Successfully completes, retains, applies and adheres to content in required training as assigned including, but not limited to, information security, anti-harassment and other compliance and policy/ procedure training applicable for position.
  • Develop and maintain policy and procedure documents as well as contribute to the development and/or improvement of workflows and procedures based upon changing requirements
  • Maintain a current knowledge of all Medicare rules, regulations, policies and procedures, and contract requirements; and ensures team members do the same.
  • Maintain HIPAA Certification; and ensures team members do the same.
  • Completion of Teleworker Agreement upon hire, and adherence to the Agreement (and related policies and procedures) including, but not limited to: able to navigate computer and phone systems as a user to work remote independently using on-line resources, must have high-speed internet connectivity, appropriate workspace able to be compliant with HIPAA, safety & ergonomics, confidentiality, and dedicated work focus without distractions during work hours.
  • Other duties as assigned to meet business needs.
  • Note - All employees and contractors for Performant Financial may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Performant's policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination. Required Skills and Knowledge: To perform this job successfully, an individual must be able to perform each essential function satisfactorily. Below are representative of the knowledge, skills, and abilities required.
  • Correspondence subject matter expertise with ability to manage and adapt workflows as needed to meet business needs in a dynamic growth environment.
  • Working knowledge of CPT/HCPCs/ICD-9/ICD-10 coding
  • Strong verbal and written communication skills; Ability to communicate professionally with internal and external audiences.
  • Excellent interpersonal skills; Ability to maintain professionalism and composure in difficult interactions or conflict as well as builds credibility and trust.
  • Solid team and functional management skills; ability to effectively build teams, lead/direct the work of teams, and develop team capability.
  • Ability to handle non-standard situations that may arise applying excellent judgment and decision- making skills; anticipates the consequences of actions and weighing multiple, sometimes conflicting, priorities.
  • Strong systems skills and experience developing meaningful data analysis and reporting to convey departmental activity and KPIs against business needs.
  • Ability to manage multiple projects simultaneously with exceptional organizational skills under pressure.
  • Strong process, project and program management skills.
  • Possess knowledge of Medicare rules and regulations
  • Demonstrated relevant knowledge and skills in medical claims processing and/or billing experience required to perform job duties
  • Good problem-solving and analytical skills; ability to identify and resolve root-cause.
  • Able to maintain confidentiality of sensitive data.
  • Solid desktop system skills; strong use of standard Microsoft office applications including strong Excel skills; and adept in quickly adapting to use of various business systems and applications.
  • Proven attention to detail and excellent organization skill.
  • Ability to successfully perform function with minimum supervision.
  • Time management skills to effectively manage diverse workload while completing work within allocated time frames in a fast-paced dynamic environment. Ability to adapt to changes easily and assist others to do so.
  • Completion of Teleworker Agreement upon hire, and adherence to the Agreement (and related policies and procedures) including, but not limited to: able to navigate computer and phone systems as a user to work remote independently using on-line resources, must have high-speed internet connectivity, appropriate workspace able to be compliant with HIPAA, safety & ergonomics, confidentiality, and dedicated work focus without distractions during work hours.

Physical Requirements:

  • Job is performed in busy standard office environment with moderate noise level (or may be home-office setting subject to Company approval and Teleworker Agreement), sits at a desk during scheduled shift, uses office phone or headset provided by the Company for calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a mouse.
  • Reads and comprehends information in electronic (computer) or paper form (written/printed).
  • Sit/stand 8 or more hours per day; has the option to stand as needed while on calls; reach as needed to use office equipment.
  • Consistently viewing a computer screen and types frequently, but not constantly, using a keyboard to update accounts.
  • Consistently communicates on the phone as required primarily within the department and company and may include client contacts or other third-party depending on assignment with account holders, may dial manually when need or use dialer system; headset is also provided.
  • Occasionally lift/carry/push/pull up to 10lbs.

Education and Experience: BA/BS in healthcare or a related field, or equivalent combination of education and experience (preferably including High School diploma with some college level coursework).

  • Minimum 8+ years progressive clerical/support experience with increasing responsibility demonstrating development of depth and breadth of knowledge in the medical or health insurance field relevant to the position.
  • Minimum 3+ years prior experience successfully supervising or managing similar functions and teams in professional capacity including managing exempt supervisory staff.

Other Requirements

  • Ability to obtain and maintain client required clearances as well as pass company regular background and/or drug screening.
  • Must submit to and pass pre-hire background check, as well as additional checks throughout employment.
  • Must be able to pass a criminal background check; must not have any felony convictions or specific misdemeanors, nor on state/federal debarment or exclusion lists.
  • Must submit to and pass drug screen pre-employment (and throughout employment).
  • Performant is a government contractor. Certain client assignments for this position requires submission to and successful outcome of additional background and/or clearances throughout employment with the Company.

Visa sponsorship is not available.

Job Profile is subject to change at any time.

EEO Performant Financial Corporation is an Equal Opportunity Employer.

Performant Financial Corporation is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law.

NO AGENCY SUBMISSIONS WITHOUT PERFORMANT AUTHORIZED AGENCY AGREEMENT AND APPROVED PERFORMANT JOB ORDER

Keywords: Performant Financial Corporation, San Angelo , Manager, Healthcare Correspondence, Other , San Angelo, Texas

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