Manager of Eligibility and Billing Operations

What You’ll Be Doing: 

We are looking for an Eligibility and Billing Operations Manager to optimize pre-service eligibility and authorization workflows, and maintain and improve claim setup to support effective collections throughout the lifecycle of a contract. You’ll be part of the remote-friendly Insurance Operations department reporting directly into the Director of Strategy and Operations. Your responsibilities:

• Lead a team of Associates/Coordinators. Coach them in their day-to-day responsibilities, and stay in sync with leadership on their performance.
• Collaborate with our Revenue Cycle Management, Credentialing, Product, Engineering, and Payor Launch teams to ensure we’re setting up our eligibility, authorization, and claim submission systems to maximize efficiency and accuracy to convert contracts to profitable partnerships
• Build tools to support all teams in identifying and operationalizing information required to effectively generate claims.
• Continuously assess and identify areas for improvement, develop improvement plans, and implement solutions to resolve issues at scale
• Eligibility and Claim Generation - Ensure claims structure, eligibility, and other setup requirements are identified and documented to enable accuracy and consistency in billing.
• Team Management - Build and maintain a successful team that can execute on our growing business needs.

Salary range: $107,681 - $140,760

You’ll Be a Good Fit If You: 

• Have 4+ years of experience implementing and maintaining eligibility, authorization, and claim submission workflows.
• Have previous experience with health insurance contracts, healthcare eligibility and authorization workflows, and healthcare claims management.
• Are hyper focused on creating the most efficient processes and driving operational improvements with your team. Deep understanding of how processes are connected to driving KPIs.
• Are extremely organized and excel at building out or implementing systems to maintain and enable access to highly specific and technical information
• Can solve problems by understanding the root cause and coming up with solutions that work not just for the current state, but that will work under predicted future complexity and growth
• Have a strong track record of juggling multiple initiatives and clear ability to prioritize most important stuff. Highly organized and able to keep projects and priorities on track
• Previous experience building out a team and function 

If you don’t meet every single requirement, but are still interested in the job, please apply. Nobody checks every box, and Grow believes the perfect candidate is more than just a resume. 

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