Health Insurance Operations Director jobs in Wheeling, WV

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)

M
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.

  • 30 Days Ago

B
Operations Support Associate
  • Bickle Insurance Services, LLC
  • Athens, OH FULL_TIME
  • We are seeking a detail-oriented and organized Part-Time Operations Support Associate to join our team at Bickle Insurance. As an Operations Support Associate, you will be responsible for efficiently ...
  • 1 Day Ago

M
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...
  • 1 Day Ago

B
Operations Director
  • Brightview Llc
  • Marietta, OH FULL_TIME
  • OPERATIONS DIRECTOR Are you a dynamic leader ready to make a transformative impact in addiction medicine? BrightView is seeking an Operations Director to facilitate the clinic workflow and lead the da...
  • 15 Days Ago

R
Director of Operations
  • Roane County Emergency Squad, Inc.
  • Spencer, WV FULL_TIME
  • Overview:We are seeking a highly skilled and experienced Director of Operations to join our team. As the Director of Operations, you will be responsible for overseeing all aspects of our company's ope...
  • 30 Days Ago

J
Marketing and Admissions Director - Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off!
  • JobRapido
  • fairmont, WV FULL_TIME
  • Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ca...
  • 3 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Health Insurance Operations Director jobs found in Wheeling, WV area

H
Safety Manager
  • H.E. Neumann Company
  • Triadelphia, WV
  • Are you passionate about ensuring the safety and well-being of others? Do you thrive in dynamic environments where your ...
  • 4/24/2024 12:00:00 AM

T
Practice Management Consultant
  • The Health Plan of West Virginia, Inc.
  • Wheeling, WV
  • Under the direction of the Director, Provider Network Management, the Practice Management Consultant provides education,...
  • 4/23/2024 12:00:00 AM

S
Administrative Assistant
  • Select Water Solutions
  • Washington, PA
  • ADMINISTRATIVE ASSISTANT Job Details Full Time / Part Time:Full Time FLSA Classification:Non-Exempt Business Unit: Well ...
  • 4/23/2024 12:00:00 AM

A
Team Leader, Project Training and Quality (PharmD)
  • Ashfield Health, LLC
  • Washington, PA
  • Team Leader, Project Training and Quality (PharmD) page is loaded **Team Leader, Project Training and Quality (PharmD)**...
  • 4/23/2024 12:00:00 AM

T
Director, Audit & Advisory Services
  • The Health Plan of West Virginia Inc
  • Wheeling, WV
  • Job Description Job Description This is s HYBRID position. Serves as the organization’s internal auditor and advisor to ...
  • 4/22/2024 12:00:00 AM

T
Practice Management Consultant
  • The Health Plan Of West Virginia Inc
  • Wheeling, WV
  • Job Description Job Description Under the direction of the Director, Provider Network Management, the Practice Managemen...
  • 4/22/2024 12:00:00 AM

A
Team Leader, Project Training and Quality
  • Ashfield Health, LLC
  • Washington, PA
  • * Work fully remotely * Competitive compensation * Excellent Benefits accrued time off, medical, dental, vision, 401k, d...
  • 4/22/2024 12:00:00 AM

K
Operations Supervisor - Water Transfer
  • Keystone Clearwater Solutions
  • Wheeling, WV
  • STANDARD SPECIFICATIONS: Requirements are representative of minimum levels of knowledge, skills and/or abilities. To per...
  • 4/21/2024 12:00:00 AM

Wheeling is a city in Ohio and Marshall counties in the U.S. state of West Virginia. Located almost entirely in Ohio County, of which it is the county seat, it lies along the Ohio River in the foothills of the Appalachian Mountains. Wheeling was originally a settlement in the British colony of Virginia and later an important city in the Commonwealth of Virginia. Wheeling was the first state capital of West Virginia. Due to its location along major transportation routes, including the Ohio River, National Road, and the B&O Railroad, Wheeling became a manufacturing center in the late nineteenth...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$169,386 to $228,432
Wheeling, West Virginia area prices
were up 1.2% from a year ago