Revenue Cycle, Insurance Verification Manager

Position Summary

ColumbiaDoctors is one of the largest multi-specialty practices in the northeast and is affiliated with world renowned Columbia University Medical Center and New York-Presbyterian Hospital.

The Insurance Verification Unit Manager is responsible for direct oversight of a central unit responsible for verifying patient insurance coverage and ensuring correct insurance information is secured in the practice management system. The Unit Manager is responsible for unit performance, work quality, efficiency and compliance with policies and regulations.

Responsibilities

Operations

• Direct day-to-day management of the I/V unit, including supervision of I/V Specialists.
• Monitor and manage operational workflows, work queues, and programs regularly for efficient use of resources.
• Tracks and reports out unit productivity, inflow, and quality measures to internal upper management and Departmental leadership regularly.
• Develops and maintains a good working relationship with all practice managers and departmental management.
• Makes sure all inquiries related to securing patient registration and insurance verification are managed promptly.
• Provides guidance and support to unit supervisor in performing quality assessments. Ensures assessments are complete and provides recommendations to improve quality as needed to mitigate any identified risks or gaps.
• Monitors work queues to ensure tasks are completed timely and accurately.
• Work collaboratively with clinical departments to establish effective communications to further the efficiency of the revenue cycle process.
• Maintains current working knowledge of payer and billing policies and stays appraised of payer process changes.
• Performs other revenue cycle tasks as assigned by management as a member of a large central business office.

Strategic

• Works collaboratively with clinical departments and vendor(s) to establish effective communications to further the efficiency of the revenue cycle process.
• Serves as an individual or team contributor towards achieving established organizational goals across all Revenue Cycle units.
• Collects and evaluates data to identify trends and gaps across Revenue Cycle processes. Uses analysis to make recommendations for improvements and optimization. Participates in improvement/optimization initiatives.
• Develops and maintains a good working relationship with all vendors, departmental management, and CRO management. Promotes a customer service orientation in interactions with patients, physicians, department staff, and external organizations through personal example.

People

• Direct oversight of staff includes recruiting and human resource management.
• Evaluates staff performance and takes corrective action in accordance with departmental HR guidelines.
• Promotes staff professionalism and performance with coaching, training, and feedback.

Compliance and Other

• As a member of the management team, performs other tasks, and assumes additional management or supervisory responsibilities within the Revenue Cycle Department as assigned.
• Represents the FPO on committees, task forces, and work groups as assigned.
• Conforms to all applicable HIPAA, Billing Compliance, and safety policies and guidelines.

Please note: While this position is primarily remote, candidates must be in a Columbia University-approved telework state. There may be occasional requirements to visit the office for meetings or other business needs. Travel and accommodation costs associated with these visits will be the employee's responsibility and will not be reimbursed by the company.

Minimum Qualifications

• Requires bachelor's degree or equivalent in education and experience.
• Minimum of four (4) years' related experience in a physician billing or third-party payor environment.
• Demonstrated intermediate skills in problem assessment, and resolution and collaborative problem solving in complex, and interdisciplinary settings including strong proficiency in healthcare and payer guidelines as it pertains to insurance verification.
• Ability to work collaboratively with a culturally diverse staff and patient/family population, strong customer service skills, demonstrating tact and sensitivity in stressful situations.
• Ability to work independently and follow-through and handle multiple tasks simultaneously.
• Excellent verbal and written communication skills.
• Intermediate to advanced level proficiency of Microsoft Office (Word & Excel) or similar software is required and an ability and willingness to learn new systems and programs.
• Must be a motivated individual with a positive and exceptional work ethic.
• Must successfully complete systems training requirements.
• Demonstrated intermediate proficiency in health insurance eligibility as it pertains to Medicare and Medicaid regulations, insurance and managed care reimbursement concepts and overall operational impact.

Preferred Qualifications

• At least 3 years of direct supervisory experience is preferred.
• Knowledge of Epic
• Certified Coder experience is preferred.

Competencies

Patient Facing Competencies

Minimum Proficiency Level

Accountability & Self-Management

Level 3 - Intermediate

Adaptability to Change & Learning Agility

Level 3 - Intermediate

Communication

Level 3 - Intermediate

Customer Service & Patient Centered

Level 3 - Intermediate

Emotional Intelligence

Level 3 - Intermediate

Problem Solving & Decision Making

Level 3 - Intermediate

Productivity & Time Management

Level 3 - Intermediate

Teamwork & Collaboration

Level 3 - Intermediate

Quality, Patient & Workplace Safety

Level 3 - Intermediate

Leadership Competencies

Minimum Proficiency Level

Business Acumen & Vision Driver

Level 1 - Introductory

Performance Management

Level 2 - Basic

Innovation & Organizational Development

Level 1 - Introductory

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.