Experience Inc. Jobs

Implements and communicates departmental standards

Manages employee performance and the quality of the team's work

Monitors productivity reports and department report card

Manages and develops Team Leads to be effective leaders

Works with Team Leads to establish and implement departmental goals, review goals on monthly basis and implement a Plan of Action where goals are not met

Ensures Team Leads are managing their team's performance through coaching, feedback, documentation and escalation to Human Resources where appropriate.

Engages with other operational units to ensure excellence in customer service and operational excellence

Partners with direct reports to resolve problems through root cause analysis and the identification and implementation of short term and long term solutions to the problems.

Reconciles Account Receivable variances for Medicare

Reviews document retention procedures

Communicates General Ledger vs. supportable variances to Finance Corp.

Additional duties as assigned

Minimum Qualifications:

• Leadership experience in a high volume production billing, enrollment, claims, call center environment or related environment.

• Background in providing customer service or improving the members experience while addressing customer issues and complaints in a timely manner.

• Direct supervisory or management experience in an operational department within the healthcare industry (which can include commercial insurance plan, hospital, nursing home, third party administrators, or other related area).

• Experience managing inventories, overseeing performance management (production based metrics) and staff development of assigned personnel.

• Understanding of member billing or enrollment processes in order to optimize and streamline current processes effectively (as needed).

• Experience addressing, documenting, managing employee relation issues (i.e. attendance, tardiness, or behavioral concerns) and fostering positive employee relations.

• Experience providing project direction, supporting training and development, administering company policies.

• Strong communication and presentation skills through all levels.

• Bachelor's degree from an accredited institution

Preferred Qualifications:

• Any experience with employee performance management systems.

• Experience with User Acceptance Testing, Data Analysis/Reporting and defining Business Requirements.

• Demonstrate the ability to effectively work cross-division for successful outcomes.

• Familiar with the HIPAA 834 Specifications and/or other electronic transmission of data.

• Demonstrate a sense of urgency in problem resolution and management.

• Can oversee the implementation of projects and effectively communicate outcomes with all level staff.

• Keeps up to date with healthcare practices, laws regulations and trends through participation in professional development activities.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.