Health Insurance Operations Director jobs in West Virginia

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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Director, Revenue Cycle Operations
  • Mon Health
  • Grafton, WV FULL_TIME
  • Grafton City Hospital is a rural hospital with vision, diversity, stability, and a future. A strong contributor to the county’s economic status as it is one of the largest employers in Taylor County. At GCH, we have one simple mission: We are committed to the promotion of wellness and to the provision of comprehensive healthcare for our community with respect to all people.

    Grafton is located in the heart of northern West Virginia. Nestled inside Taylor County, Grafton, the county seat, is centrally located less than 30 miles from Morgantown, Bridgeport and Fairmont, WV. Our 170 plus dedicated, and caring employees are encouraged to employ their talents and abilities to solve any challenge faced by our patients and the surrounding community.

    While many hospitals, especially rural hospitals, are closing because of ever declining reimbursement for the services they provide, Grafton City Hospital continues to get stronger by operating more efficiently and providing excellent healthcare to our community.

    JOB SUMMARY

    Reporting to the Vice-President of Financial Services, the Director of Revenue Cycle Operations plays an integral role in the reimbursement and collections operations at Grafton City Hospital. This position works closely with Hospital leaders to develop reimbursement strategies and controls to ensure financial viability. The Director of Revenue Cycle Operations leads the billing function and is responsible for ensuring the Hospital maximizes its financial performance. This position oversees the medical billing operation and staff to ensure effective management of receivables and is responsible for continually improving systems and processes.  As part of the Revenue Cycle Oversight, this position will oversee all revenue cycle operations staff, which will include Business Office and Health Information Management staff.   

    EDUCATIONAL REQUIREMENTS

    • A Bachelor’s degree in business or similar field is required.

    LICENSURE AND CERTIFICATIONS

    • Additional revenue cycles or similar certifications are preferred.

    EXPERIENCE

    • Seven (7) years of progressive revenue cycle and regulatory experience in the healthcare industry, with a minimum of five (5) years of relevant management experience required.

     

    This document is intended to describe the general nature and level of work being performed. The statements in this document are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

    ADA DISCLAIMER:

    This description does not state or imply that the duties listed above are the only duties to be performed by the incumbent position. Employees are required to follow job-related instructions and perform other job-related activities requested by their supervisors. All requirements are subject to modification to provide reasonable accommodation for individuals with physical or mental disabilities as defined in the Americans with Disabilities Act. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves, patients, or other employees.

    Grafton City Hospital is an equal-opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

  • 2 Days Ago

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Registered Nurse (RN), Regional Director of Clinical Operations
  • CommuniCare Health Services Corporate
  • Berkeley Springs, WV FULL_TIME
  • RN - Regional Director of Clinical Operations CommuniCare Health Services is currently recruiting an experienced and dynamic Registered Nurse, BSN preferred, for the position of Regional Director of C...
  • 23 Days Ago

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Registered Nurse (RN), Regional Director of Clinical Operations
  • CommuniCare Health Services Corporate
  • Berkeley Springs, WV FULL_TIME
  • RN - Regional Director of Clinical Operations CommuniCare Health Services is currently recruiting an experienced and dynamic Registered Nurse, BSN preferred, for the position of Regional Director of C...
  • Just Posted

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Director of Clinical Operations, Assisted Living, NP or RN
  • Personalized Health Partners
  • Charleston, WV FULL_TIME
  • Personalized Health Partners (PHP), a medical practice affiliated with CommuniCare Health Services, is currently recruiting a Director of Clinical Operations for our Assisted Living (ALF/ILF) clinical...
  • 17 Days Ago

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Telehealth Operations Director -- Telemedicine -- General Hospital
  • CAMC Health System
  • Charleston, WV FULL_TIME
  • Responsibilities Knowledge, Skills & Abilities Patient Group Knowledge (Only applies to positions with direct patient contact) The employee must possess/obtain (by the end of the orientation period) a...
  • Just Posted

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Director, Svc. Line Operations- Surg. Sp - Now Hiring
  • Mon Health System
  • Wana, WV FULL_TIME
  • JOB SUMMARY- Oversees operations and direction of assigned Surgical Specialty service line. Responsible for operations support, project development, planning, and implementation of new and expanded se...
  • 2 Days Ago

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Director of Information Technology
  • Praesidium, Inc.
  • Arlington, TX
  • Role: Director of Information Technology Job Summary: The IT Director will oversee and manage the company's technology o...
  • 3/28/2024 12:00:00 AM

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Associate Director, Wealth Advisor
  • Cresset
  • Minnetonka, MN
  • About Cresset Private equity entrepreneurs Eric Becker and Avy Stein founded Cresset Capital Management with a vision to...
  • 3/28/2024 12:00:00 AM

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Ecommerce Marketing Manager
  • GODIRECTINC.COM
  • La Puente, CA
  • Looking for Highly Motivated Digital Marketing Manager Company Description GODIRECTINC.com the leader has demonstrated s...
  • 3/28/2024 12:00:00 AM

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Director Merchandising
  • Ashley Global Retail
  • Build You Career with Ashley Work with the latest trends in home furnishings on a global stage. It’s an exciting time to...
  • 3/28/2024 12:00:00 AM

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Breast Health Screening Navigator - Southeast Missouri
  • Gateway to Hope
  • Cape Girardeau, MO
  • Breast Health Screening Navigator Southeast Missouri Position Overview GTH (GTH) is a growing 501c3 nonprofit organizati...
  • 3/28/2024 12:00:00 AM

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Director Merchandising
  • STONELEDGE FURNITURE
  • Build You Career with Ashley Work with the latest trends in home furnishings on a global stage. It’s an exciting time to...
  • 3/28/2024 12:00:00 AM

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Education Assistant
  • Yellowstone Wildlife Sanctuary
  • Red Lodge, MT
  • Education Assistant Job Description Please send cover letter and resume to jobs@yellowstonewildlife.org Now Hiring 11/29...
  • 3/28/2024 12:00:00 AM

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Field Services Engineer
  • Erthos
  • Tempe, AZ
  • About Erthos (www.erthos.com) Erthos is a pre-IPO energy technology company dedicated to providing the world’s lowest-co...
  • 3/28/2024 12:00:00 AM

West Virginia (/vərˈdʒɪniə/ (listen)) is a state located in the Appalachian region in the Southern United States and is also considered to be a part of the Middle Atlantic States. It is bordered by Pennsylvania to the north, Maryland to the east and northeast, Virginia to the southeast, Kentucky to the southwest, and Ohio to the northwest. West Virginia is the 41st largest state by area, and is ranked 38th in population. The capital and largest city is Charleston. West Virginia became a state following the Wheeling Conventions of 1861, after the American Civil War had begun. Delegates from so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$155,363 to $209,526