Insurance Manager

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Oversee insurance billing and follow-up operations for projects contracted by clients.

• Provide direction and support to ensure high standards, efficiency, and professional development.

• Develop client-oriented strategies to enhance partnerships and promote ongoing improvement.

• Manage existing client relationships while spearheading the acquisition of new clients.

• Supervise and train staff and supervisors in their educational pursuits.

• Ensure that teams remain informed about internal, governmental, and client-related processes.

• Supervise the creation of processes and procedures to manage workflow and meet client expectations.

• Handle HR responsibilities for staff, including performance evaluations, conduct expectations, hiring, and terminations.

• Address concerns related to performance, quality of work, and other issues swiftly and effectively.

• Initiate projects and opportunities for team development to enhance overall performance.

• Identify and implement opportunities for revenue enhancement.

⛳️ Requirements

• Minimum of 6 years of leadership experience in healthcare Revenue Cycle Management (RCM).

• Proven experience managing a total team of over 50 employees.

• Practical experience with Insurance Follow-Up, Denials Management, Prior Authorization, Eligibility Verification, Benefits Verification, and accounts receivable (AR) Follow-Up for Medicare, Medicaid, HMO, PPO, and Commercial Payors.

• Familiarity with Hospital Billing (HB) and Physician Billing / Professional Billing (PB).

• Knowledge of Medicare, Medicaid, HMO, PPO, and Commercial Insurance.

• Required proficiency in using Epic.

• Expertise in Electronic Health Record (EHR) platforms, potentially including MEDITECH Expanse or HealthQuest.

• Preferred: Experience with Waystar or Experian Revenue Cycle Management (RCM) platforms.

• Preferred: Experience with Rural & Critical Access Hospitals (CAH).

🏝️ Benefits

• Monthly Performance Incentives