About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
Responsible for the supervision of operational tasks and processes as assigned to support business objectives for CorroHealth Healthcare Insurance Operations clients/projects. Provide leadership to team members based in multiple locations to include remote/at home sites, client sites, service centers, and offshore delivery teams. Interfaces directly with clients, outsource partners and suppliers in addition to collaborating with internal business teams as needed.Responsible for recommending operational processes and policies to facilitate attainment of near-term performance targets as well as long-term strategic business objectives. Delivers effective professional communication amongst internal and external teams. Provides project-specific training during onboarding and supports the productivity and quality performance of the team.
**This position is 100% ONSITE in Honolulu, HI**
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
Primary duties include:
• Supervision of client specific Insurance Operations tasks and processes for CorroHealth Healthcare
• Assigns the work of direct reports
• Contributes to the decision to engage, terminate, advance, promote, or change status for employees under their supervision
ESSENTIAL JOB FUNCTIONS:
Team Development
• Provide and demonstrate effective leadership and soft skills in supervising operational tasks and processes to facilitate attainment of departmental performance measurements and goals.
• Mentor and develop team members on effective revenue cycle techniques necessary to achieve excellence and maintain high performance.
• Maintain constructive relationships with co-workers and members of management.
• Provide project-specific training to new staff.
Project Management
• Maintain an effective communications process with management, facilitating direction and operational stability.
• Collaborate with Information Technology to deploy topflight technology for improved service and reporting.
• Participate in the development and implementation of improvement strategies when objectives are not met.
• Ensure up to date billing and regulatory standards are implemented into workflow.
• Monitor PRISM request statuses to identify opportunities to minimize client requests.
• Monitor PRISM KPIs to ensure targets are consistently met.
• Review quality audit results to identify opportunities for training.
Analysis and Reporting
• Consistently identify reasons why claims are not paid on initial submission or payment is delayed. Collaborate with management to identify trends, revenue impact and root cause.
• Contribute supporting information regarding trends and root cause analysis for weekly and monthly client meetings.
• Monitor and analyze productivity, inventory and quality report results to collaborate on the development of action plans for continuous performance improvement.
General Management
• Maintain regular attendance and consistent arrival and departure times.
• Participate as a highly functioning member of the team, striving to identify methods to increase revenue and effectively resolve claims.
• Confront all obstacles with a positive outlook and an inclusive team approach.
• Accept accountability, accepting and providing constructive feedback.
Performance Monitoring
• Review performance data that measure productivity and goal achievement to ensure attainment of revenue and profitability targets.
• Share opportunities for up-selling and cross-selling and communication with management.
EDUCATION: High School
EXPERIENCE:
MUST HAVE:
• 2+ years of experience working in revenue cycle operations environment exceeding expected performance levels.
• 1+ years leadership experience
• Experience in MS Office products.
• Proven knowledge and compliance with applicable federal and state regulatory requirements.
OTHER HELPFUL EDUCATION OR EXPERIENCE:
• Project management.
• Data management.
KNOWLEDGE, SKILLS and ABILITIES:
• Regular attendance is a requirement for this position.
• Successful track record in the completion of assigned tasks and processes
• Strong demonstration of personal initiative and self-direction.
• Effective team building, coaching and leadership skills required.
• Developed verbal, written, presentation and overall communication skills.
• Ability to establish trust and credibility and maintain positive professional business relationships with all levels of CorroHealth Healthcare organization.
• Ability to meet strict deadlines and handle multiple priorities in a very-fast paced environment.
• Proven ability to communicate and collaborate cross-functionally with management levels within the organization.
• Ability to pay close attention to detail and accuracy with effective organizational skills.
• Ability to identify areas of improvement, develop corrected process flows and strategically utilize resources to implement effective change.
PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
