Practice Quality Manager, Revenue Cycle

We are seeking a highly skilled and experienced Practice Quality Manager, Revenue Cycle to join our team. This role is responsible for the overall management and administration of insurance operations related to our Pippen Health telemedicine practice. This role is responsible for overseeing day-to-day insurance operations, ensuring compliance with regulatory requirements, managing insurance coordination staff, and for leading continuous improvement activities.  The Practice Quality Manager, Revenue Cycle will play a key role in growing and refining insurance related operations to support the business objectives set forth by Found, and will be responsible for creating infrastructure that increasingly delivers an exceptional experience for healthcare providers and Found members alike.

• Manage the daily operations of the insurance coordination team to include productivity/efficiency, quality/denials, and ensuring adequate tooling, workflows and staffing levels to maintain insurance services.
• Hire, train, supervise, and evaluate insurance team colleagues including insurance coordinators as well as future roles such as schedulers, billing and coding specialists, denials and appeals specialists, and others.
• Set clear and achievable goals for the team that align with the overall objectives of clinical operations as well as the broader organization.
• Provide guidance and direction to team members, ensuring that they have the resources, tools, and information they need to perform their jobs effectively.
• Coach and mentor team members to help them develop the skills necessary for them to excel and thrive in their role.
• Monitoring the performance of the team, providing feedback, and taking corrective action as needed to ensure that the team is meeting or exceeding performance standards.
• Fostering and promoting a collaborative and teamwork-oriented culture that encourages open communication and cooperation between team members.
• Ensuring that communication flows effectively within their team and with other teams or departments.
• Ensuring that team members comply with all relevant laws, regulations, policies, and procedures.
• Responsible for setting a positive example, by modeling the behaviors and attitudes they expect from their team.
• Staying up-to-date on the resources available to team members and Found members alike.
• Collaborating with other healthcare and operational professionals to ensure increased access to comprehensive obesity care.

• Excellent interpersonal and communication skills.  The Practice Quality  Manager must have excellent communication skills, including the ability to explain complex medical or insurance information in plain language, listen actively, and build rapport with providers and members alike
• Ability to work compassionately and effectively with the public, as well as working with colleagues at all levels of the organization
• Passionate about delivering safe, high-quality obesity healthcare, and harnessing technology to do so
• Strong aptitude for problem solving. The Quality Practice Manager must be able to identify and address barriers to efficient and effective workflows and processes
• Demonstrated ability to prioritize and manage multiple tasks and projects at various stages of completion, and ensuring their successful completion
• Exceptional organizational abilities, with the ability to organize and prioritize competing priorities
• Adept relationship development skills to work across departments with multiple different stakeholders
• Must be comfortable using technology, including electronic health records, coding and billing software, and/or other healthcare practice software.  Must also have demonstrated proficiency with spreadsheets.  

• 3+ years of experience in a health insurance role in a healthcare delivery setting (i.e. clinic, medical office, pharmacy, digital/telehealth company, etc.), Some remote experience preferred, 2+ years experience in a practice management role or other similar healthcare administration supervisory or management role preferred
• Experience supervising or managing other healthcare administration staff
• High school diploma or GED and some secondary education or training post high school, Bachelors degree in healthcare administration, business administration, or related field preferred