Health Insurance Operations Director jobs in Pascagoula, MS

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)

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Lead Insurance Billing Specialist
  • Singing River Health System
  • Pascagoula, MS OTHER
  • Lead Insurance Billing Specialist

    Singing River Health System Administrative Building - Gautier | Full-Time | Days |
    United States

    Position Overview:
    The Lead Insurance Billing Specialist is responsible for assisting the Billing Manager and fellow staff in billing activities for Medicare, Medicare Advantage, Medicaid, and Third party claims. This position ensures timely and accurate billing and collection of hospital accounts, including acute care, hospice, and skilled nursing services. The Lead Hospital Billing Specialist is responsible for training of new billing staff and communicating process issues and improvements to the Billing Manager and Lead Billing Coordinator. They oversee the billing of complex hospital accounts, monitors appeals, audits, and assist whenever a higher level of billing expertise is required.
    The Lead Insurance Billing Specialist keeps abreast of all billing compliance, including insurance laws and
    Government regulations; patient rights, signature requirements, payment policies and other related policies; monitors, updates and applies billing compliance regulations at all times; and assures that employees receive adequate guidance and instruction concerning duties and billing guidelines. They work with the Revenue Cycle and other Health System departments in problem solving and recommend long-term solutions. Expectation is for all performed duties to be in accordance with Singing River Health System procedures and policies, accreditation organization, and governing guidance and publications for health care employees.

    DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned.

    Education:
    High School diploma or equivalent required. Associates or bachelor’s degree in business finance, healthcare administration, or related field preferred.

    License:

    N/A

    Certification:

    N/A

    Experience:

    Minimum three (3) years of Hospital patient accounting and/or insurance experience in medical field required. Must have strong Medicare and Managed Medicare insurance knowledge. Must have strong knowledge of medical terminology, CPT, NCCI edits, and standard payer code sets. Epic experience preferred.

    Reports to:
    Billing Manager

    Supervises:
    None

    Physical Demands:
    Work involves moderate physical activity: frequently moving about the office, building, or other facilities within the SRHS service area; frequently positioning self to access files, computers, equipment, and other objects; performing repetitive motions with wrists, hands and fingers in using the keyboard and other office equipment; and regularly exerting up to 30 pounds of force to move objects.
    Work involves being able to perceive the nature of sounds at normal speaking levels, with or without correction. Must demonstrate the ability to communicate, speak, and enunciate to express / exchange ideas and detailed information in person and on the telephone. Work requires a minimum standard of visual acuity, with or without correction, with the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms that are closer to compare data at close vision.

    Mental Demands:
    Must be with sound technical skills, analytical ability, good judgment and strong operational focus; must be well-organized and self-directed. Work requires the ability to read, analyze, and interpret the most complex documents.  Must demonstrate the ability to apply advanced financial and mathematical concepts and operations.
    Must demonstrate keen mental faculties / assessment and decision making skills in the management of financial responsibilities, staff, and/or patients. Must possess emotional stability conducive to dealing with high stress levels associated in dealing with employee issues and demands of maintaining effective working relationships with peers, staff, managers, physicians, and other healthcare associates.

    Special Demands:
    Must possess superior customer service skills and professional etiquette.  Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.).  Must have working knowledge of MS Outlook, Word, Excel, and PowerPoint.
    Work requires the ability to function independently, adapt to workload demands, set priorities, and understand and set goals.  Must understand the fundamentals of automated data processing, and quickly gain a detailed understanding of complex computerized and non-computerized information.

    Must possess knowledge of medical, coding, and billing terminology. Must have an understanding of Revenue Cycle functions in a hospital setting and thorough knowledge of state and federal laws, as they apply. Must be able to navigate within an Electronic Medical Record (EMR).

  • 19 Days Ago

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Insurance Claims Coordinator
  • Singing River Health System
  • Gautier, MS FULL_TIME
  • Insurance Claims CoordinatorSinging River Health System Administrative Building - Gautier | Monday- Friday 8am-4:30pm | Full-TimePosition OverviewThe Insurance Claims Coordinator reviews, handles and ...
  • 1 Month Ago

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Insurance Billing Specialist
  • Singing River Health System
  • Gautier, MS FULL_TIME
  • Insurance Billing SpecialistSinging River Health System Administrative Building - Gautier | Full-Time | Days | 2101 Highway 90Gautier, Mississippi, 39553United States Position OverviewThe Insurance Bi...
  • 1 Month Ago

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Executive Director of Information Systems
  • Singing River Health System
  • Pascagoula, MS FULL_TIME
  • Executive Director of Information SystemsSinging River Health System Hospital - Pascagoula | Full-Time | 2809 Denny AvePascagoula, Mississippi, 39581United States Position OverviewThe Executive Direct...
  • 9 Days Ago

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Workforce Development Executive Director
  • Singing River Health System
  • Pascagoula, MS FULL_TIME
  • Workforce Development Executive DirectorHealthcare Workforce Academy | Full-Time | DaysPosition OverviewThe Workforce Development Director coordinates daily operations, implements strategic goals and ...
  • 10 Days Ago

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Customer Service Representative
  • Coastal Insurance Associates, Ltd
  • Gautier, MS FULL_TIME
  • Coastal Insurance Associates, Ltd a rapidly growing Independent Insurance Agency is seeking qualified candidates to fill immediate open Customer Service positions in our Gautier, MS Operations Center....
  • 3 Days Ago

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0 Health Insurance Operations Director jobs found in Pascagoula, MS area

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RN Shift Supervisor-$10k Sign on Bonus & Excellent Benefits
  • Gulf Coast Health And Rehabilitation LLC
  • Mobile, AL
  • RN Shift Supervisor 3p-11p General Purpose To plan, organize, develop and direct the overall operation of the Nursing Se...
  • 3/28/2024 12:00:00 AM

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Registered Nurse (RN) - Premium Pay
  • Universal Health Services
  • Gulfport, MS
  • Responsibilities Gulfport Behavioral Health System (a UHS facility): Gulfport Behavioral Health System, is a 90-bed psyc...
  • 3/28/2024 12:00:00 AM

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Practical Nursing Administrative Assistant
  • Blue Cliff College
  • Gulfport, MS
  • POSITION Blue Cliff College is seeking a Practical Nursing Administrative Assistant. This individual will be responsible...
  • 3/28/2024 12:00:00 AM

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General Engineer (12 Month Roster)
  • Department Of The Treasury
  • Gulfport, MS
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LBI) DIVISION? A description of the business units can be found at:...
  • 3/28/2024 12:00:00 AM

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Area Scouts | Sports - Regional Manager | Athlete Evaluator
  • Area Scouts
  • Mobile, AL
  • Area Scouts | Sports - Regional Manager | Athlete Evaluator Sports Currently Covered: Baseball Basketball Football Softb...
  • 3/27/2024 12:00:00 AM

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Vice President of Corporate Real Estate 4646
  • KEESLER FEDERAL
  • Biloxi, MS
  • KEESLER FEDERAL CREDIT UNION is seeking to select a VP- Corp Real Estate to join our TEAM! Do you thrive in an environme...
  • 3/26/2024 12:00:00 AM

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Heat Treatment Business Development Specialist
  • NONDESTRUCTIVE & VISUAL INSPECTION
  • Theodore, AL
  • Job Details Job Location Mobile Office - Theodore, AL Position Type Full Time Description NVI is a nationwide nondestruc...
  • 3/25/2024 12:00:00 AM

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Director of Women's Services-Full Time
  • Merit Health Biloxi
  • BILOXI, MS
  • You chose a career where you have the opportunity to make a difference in peoples’ lives. At Merit Health Biloxi, we wan...
  • 3/12/2024 12:00:00 AM

Pascagoula is a city in Jackson County, Mississippi, United States. It is the principal city of the Pascagoula Metropolitan Statistical Area, as a part of the Gulfport–Biloxi–Pascagoula Combined Statistical Area. The population was 22,392 at the 2010 census, down from 26,200 at the 2000 census. As of 2016 the estimated population was 21,981. It is the county seat of Jackson County. Pascagoula is a major industrial city of Mississippi, on the Gulf Coast. Prior to World War II, the town was a sleepy fishing village of about 5,000. The population exploded with the war-driven shipbuilding industry...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$152,209 to $205,273
Pascagoula, Mississippi area prices
were up 1.2% from a year ago