Senior Manager Position Available In Miami-Dade, Florida

Senior Manager MCC Medical Claims Consultants 780 NW 42nd Avenue, Miami, FL 33126 Senior Manager, orients, trains, and monitors the performance of staff responsible for third-party medical billing collections. This position processes and collects primary care and specialties accounts and ensures department compliance with applicable guidelines and regulations.

• Assists medical collectors with day-to-day collections issues and serves as subject matter expert for department staff and management of the third-party unit.
• Reviews various third-party reports, distributes them to staff for appropriate collections actions, and uses the paperless collection system to process third-party insurance accounts.
• Creates and compiles work files for medical collectors.
• Advises senior staff of any significant trends in insurance denials in order to identify problems with particular payors.
• Makes necessary corrections to accounts, updates patient demographic information, and reviews ICD-9 and CPT 4 codes for correctness.
• Reviews and processes insurance requests for refunds and provides follow-up on accounts until they are resolved.
• Reviews, sorts, and distributes incoming third-party correspondence.
• Makes suggestions on process changes that will improve overall performance.
• Meets regularly with staff to review productivity reports and assess payer issues.
• Initiates performance management processes to address ongoing performance issues.
• Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with MCC policies and procedures.

Ensures employees are trained on controls within the function and on MCC policy and procedures. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

MINIMUM QUALIFICATIONS

• High school diploma or equivalent
• Minimum 3 years of relevant experience
• Certification in relevant specialty or field
• Ability to maintain effective interpersonal relationships.
• Commitment to MCC’s core values.
• Ability to direct, manage, implement, and evaluate department operations.
• Ability to establish department goals and objectives that support the strategic plan.
• Ability to effectively plan, delegate, and/or supervise the work of others.

Ability to lead, motivate, develop, and train others Proficiency in computer software (i.e. Microsoft Office) Must have excellent organizational skills Ability to handle multiple projects Strong Leadership Must be fully Bilingual Ability to work well under pressure Ability to work accurately and efficiently Be dependable and work well as a team

Job Type:

Full-time Pay:

$24.00 – $30.00 per hour

Shift:

8 hour shift

Experience:

Medical Billing:

1 year (Required) Shift availability: Day Shift (Preferred) Ability to

Commute:

Miami, FL 33126 (Required) Ability to

Relocate:

Miami, FL 33126: Relocate before starting work (Required)

Work Location:

In person