Health Insurance Operations Manager jobs in Idaho Falls, ID
Health Insurance Operations Manager manages and maintains daily health insurance operations in multiple service areas, including account installation, implementation, client support, contract administration, claim processing, and enrollment and eligibility. Handles and settles complicated customer service issues which can not be resolved by lower level staff. Being a Health Insurance Operations Manager monitors performance of each service area. Requires a bachelor's degree or its equivalent. Additionally, Health Insurance Operations Manager typically reports to senior management or Director. The Health Insurance Operations Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Health Insurance Operations Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
Recently Added Health Insurance Operations Manager jobs
Clinic Operations Manager - Specialty Care
- St. John's Health
-
Jackson, WY
FULL_TIME
-
Job Summary:
An exempt position responsible for managing the daily operations of assigned Clinics to promote effective, efficient, and safe patient care. Responsible for the development and implementation of standardized processes that prioritize high quality delivery of care, optimal patient satisfaction, employee engagement, and fiscal responsibility. Collaborates successfully with stakeholders throughout the organization to deliver integrated health care, integrate technological innovations, navigate an increasingly complex regulatory environment, and implement health system initiatives.
Essential Functions:
1. Clinic Development and Growth
Collaborates with Medical Group Administration on development and implementation of department's mission, goals, policies, procedures, budget, quality assurance plan, performance improvement, and work standards to optimize efficiency, quality patient care, and fiscal responsibility. Compiles data on patient outcomes, quality assurance results, patient experience, appointment patterns, employee engagement, budget/goal achievement, and performance/productivity and prepares reports for administration. Analyzes data for improvement opportunities and implements action plans.
2. Hospital and Medical-Group Liaison
Collaborates with organization leaders and providers to achieve effective delivery of a variety of related services ranging from inpatient care to outpatient follow-up care. Communicates effectively with Quality, Infection Prevention, Materials, Pharmacy, Risk and Compliance, Human Resources, and other hospital departments to meet organization standards and policies streamline clinic operations and maintain a safe workplace.
3. Clinic Operations
Oversees clinical care, ensuring compliance with established regulations and standards including quality assurance and medical record documentation. Ensures clinic staff comply with HIPAA privacy laws and follow organization procedures regarding release of and request for medical records. Works collaboratively with clinic leads to ensure successful day-to-day clinical operations and assists on the floor as needed.
4. Human Resources
Analyzes staffing patterns and collaborates with clinic leaders to align clinical staff scheduling with clinic needs. Oversees all hiring, training, supervision, and evaluating of personnel. Collaborates with Human Resources and oversees all clinic recruiting, selecting, orienting/training, and evaluating nursing staff. Ensures all personnel adhere to Patient Experience hospital policy & that all contact with the public is conducted in a polite, concerned & efficient manner.
5. Patient Registration
Supervises patient registrations to ensure all patients are scheduled and registered correctly and efficiently. Communicates effectively with Patient Financial Services to ensure all information is provided to clinic billers on a timely basis & works with clinic billers to resolve problems. Supervises collection of monies and manages petty cash. Reviews daily clinic admissions for accuracy & sees that they are corrected in a timely manner. Assists in front desk duties as needed.
6. Electronic Medical Record
Oversees clinic EMR scheduling templates. Monitors provider notes for completion, working with Medical Group administration on plan of action when necessary. Monitors EMR patient scheduling, web portal, and any other patient access interface tools. Collaborates with information technology informatics team on maintaining and upgrading the clinic EMR system.
Job Requirements:
Minimum Education:
Required: BS – Bachelor of Science
Minimum Work Experience:
Required: Minimum one year supervisory-level experience, preferably in medical practice setting.
Required Licenses: BLS
Functional Demands:
Working Conditions: Combination of office, exam, and other clinical settings. Frequent exposure to communicable diseases, biohazards, toxic substances, medicinal preparations, and other conditions common to a clinic setting. Frequent stress caused by multitasking, managing personnel, and level of responsibility. Must be on-site at the SJH campus or other facilities to fulfill the responsibilities of this role.
Physical Requirements: Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 50 pounds.
Direct Reports: All Clinic Staff
Reports to: 1-796-738 Director of Physician Services – Specialty Care - 10 Days Ago
Cleaner
- Aware Manager
-
Idaho Falls, ID
CONTRACTOR,PART_TIME,FULL_TIME
- Cleaner We are looking for a Cleaner to take care of our facilities and carry out cleaning and maintenance duties. The goal is to keep our building in a clean and orderly condition. Responsibilities C...
- 19 Days Ago
East Idaho-District Manager
- Farm Bureau Mutual Insurance of Idaho
-
Idaho Falls, ID
FULL_TIME
- Recruit and supervise a team of Agents to secure and retain clientele for all lines of insurance provided by the Companies. Mentor and direct the development of new Agents to surpass company goals and...
- 24 Days Ago
Operations Manager
- Lady Garden Essentials
-
Jackson, WY
FULL_TIME
- Feminine Sexual Wellness Product LineDescription:As the Operations Manager for our innovative new brand in the feminine hygiene and sexual wellness space, you will play a pivotal role in bringing our ...
- 10 Days Ago
Operations Manager
- Spudnik Equipment Company Llc
-
Blackfoot, ID
FULL_TIME
- Job Summary The Operations Manager will provide strategic leadership and oversight for specific area/department within our Fabrication department, namely warehouse inventory, material preparation, CNC...
- 26 Days Ago
District Manager - East Idaho Area
- Farm Bureau Mutual Insurance of Idaho
-
Idaho Falls, ID
FULL_TIME
- Develop an Agency staff for the purpose of securing and maintaining application of all lines of insurance offered by the Companies. Hiring and developing new Agents up to and above company task. Manag...
- 23 Days Ago
Filters
- Current Active Filter
- Idaho Falls, ID
Clear All
- Filter Jobs By posted time
- Within 1 Day
- Within 2-7
- Within 1 Month
- Within 3 Months
0 Health Insurance Operations Manager jobs found in Idaho Falls, ID area
Nurse Manager Medical Surgical Unit
- Eastern Idaho Regional Medical Center
-
Idaho Falls, ID
- Description Salary Estimate: $81660.80 - $122512.00 / year Learn more about the benefits offered for this job. The estim...
- 4/20/2024 12:00:00 AM
Laboratory Assistant - Laboratory
- MOUNTAIN VIEW HOSPITAL LLC
-
Idaho Falls, ID
- Job Details Level Entry Job Location Hospital Main Campus - Idaho Falls, ID Position Type Part Time Education Level High...
- 4/19/2024 12:00:00 AM
Certified Nurse Assistant - Medical Surgical - PT
- MOUNTAIN VIEW HOSPITAL LLC
-
Idaho Falls, ID
- Job Details Level Entry Job Location Hospital Main Campus - Idaho Falls, ID Position Type Part Time Education Level Cert...
- 4/19/2024 12:00:00 AM
Certified Nurse Assistant - Medical Surgical
- IDAHO FALLS COMMUNITY HOSPITAL LLC
-
Idaho Falls, ID
- Job Details Job Location Idaho Falls Community Hospital - Idaho Falls, ID Position Type Full Time Education Level Certif...
- 4/19/2024 12:00:00 AM
ICU RN
- Hiring Now!
-
Idaho Falls, ID
- Description Hourly Wage Estimate: $29.50 - $44.25 / hour Learn more about the benefits offered for this job. The estimat...
- 4/19/2024 12:00:00 AM
Receptionist/Admissions Clerk - Redicare-FullTime
- MOUNTAIN VIEW HOSPITAL LLC
-
Idaho Falls, ID
- Job Details Level Entry Job Location Redicare - Idaho Falls, ID Remote Type N/A Position Type Full Time Education Level ...
- 4/19/2024 12:00:00 AM
MA / CMA / CNA - Pain and Spine Specialists-Idaho Falls - FullTime
- MOUNTAIN VIEW HOSPITAL LLC
-
Idaho Falls, ID
- Job Details Level Entry Job Location Pain Specialists Idaho Falls - Idaho Falls, ID Position Type Full Time Education Le...
- 4/19/2024 12:00:00 AM
Truck Care Diesel Technician
- Loves Travel Stops & Country Store
-
Idaho Falls, ID
- Req ID: 430793 Address: 6737 South 45th West Idaho Falls, ID, 83402 Welcome to Love’s! Where People are the Heart of Our...
- 4/18/2024 12:00:00 AM
About Idaho Falls, Idaho
Idaho Falls is the county seat of Bonneville County, Idaho, United States, and the state's largest city outside the Boise metropolitan area. As of the 2010 census, the population of Idaho Falls was 56,813 (2016 estimate: 60,211), with a metro population of 133,265.
Idaho Falls serves as the commercial, cultural, and healthcare hub for eastern Idaho, as well as parts of western Wyoming and southern Montana. It is served by the Idaho Falls Regional Airport and is home to the College of Eastern Idaho, Museum of Idaho, and the Idaho Falls Chukars minor league baseball team. It is the principal c...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Manager jobs
$99,252 to $134,930
Idaho Falls, Idaho area prices
were up 2.5% from a year ago
were up 2.5% from a year ago
What does a Health Insurance Operations Manager do?
Health Insurance Operations Manager in Brockton, MA
Recently expanded and now offered in a convenient online format, this course brings you up to date on new developments, such as wellness programs, the medical home concept, health information technology, price and quality transparency, and landmark health care reform initiatives.
December 23, 2019
Health Insurance Operations Manager in Augusta, GA
Administration Staff Required for Health Care Unit in Dubai.
December 15, 2019
Health Insurance Operations Manager in Pueblo, CO
This online course is a survival guide when it comes to understanding health insurance operations.
January 27, 2020