Health Insurance Operations Director directs and oversees health insurance operations programs in multiple service areas, including account installation, implementation, client support, contract administration, claim processing, and enrollment and eligibility. Manages vendors assigned to each operation. Being a Health Insurance Operations Director resolves issues within each service area. Has deep knowledge of health insurance operations. Additionally, Health Insurance Operations Director typically requires a bachelor's degree of business administration or its equivalent. Typically reports to top management. The Health Insurance Operations Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Health Insurance Operations Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)
General Job Description: •Performs a variety of complex clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third party billing records, and resolution of a variety of problems. •Follows up on submitted claims and patient billing; resubmits claims or resolves problems. May handle cash items and accounts receivable posting. Essential Job Functions: •Processes billings to patients and third party reimbursement claims; maintains supporting documentation files and current patient addresses. •Processes patient statements, keys data, posts transactions, and verifies accuracy of input to reports generated. •Researches and responds by telephone and in writing to patient inquiries regarding billing issues and problems. •Follows up on submitted claims; monitors unpaid claims, initiates tracers; resubmits claims as necessary. •May receive and receipt cash items and third party reimbursements; posts and reconciles payments to patient ledgers. •Balances daily batches and reports; prepares income reports and statistics; distributes reports. Education and Experience Required: •HSD or GED •Two years to four years of direct billing experience
Job Type: Full-time
Pay: $28,425.00 - $117,841.00 per year
Benefits:
Schedule:
Work Location: Multiple locations
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0 Health Insurance Operations Director jobs found in Las Cruces, NM area