Sr. Manager, Insurance Operations (Remote)

About this role

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Manager, Insurance Operations - REMOTE. In this role, you will oversee essential functions related to payer denials and underpaid claims, ensuring timely resolution and operational efficiency. You will lead a team to drive performance excellence while maintaining a culture of collaboration and continuous improvement. This position allows you to make a significant impact on reimbursement processes, contributing to the overall success of the organization and ultimately improving patient access to care.


Accountabilities

• Oversee workflows for contracted payer denials and underpaid claims.
• Develop and implement strategies to reduce denials and recover underpayments.
• Monitor denial trends and collaborate with internal teams to address root causes.
• Manage insurance follow-up queues to ensure timely responses.
• Oversee negotiation and execution of Letters of Agreement and Single Case Agreements.
• Prepare and analyze reports on denial rates and recovery performance.
• Provide training and guidance to ensure team adherence to policies.

Requirements

• Bachelor's degree in Healthcare Administration, Business, or related field.
• 8+ years of experience in reimbursement operations or revenue cycle management.
• Strong knowledge of insurance billing and payer contracts.
• Proven leadership experience in managing teams.
• Excellent communication and problem-solving skills.
• Proficiency in revenue cycle systems and Microsoft Office Suite.

Benefits

• Competitive salary range with equity grant and bonus eligibility.
• Flexible work environment promoting work-life balance.
• Opportunities for professional development and career advancement.
• Supportive company culture emphasizing diversity and inclusion.
• Hands-on coaching and mentoring from experienced leaders.

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