EnableComp, LLC
  • CAID
  • USA
  • Full Time

Comprehensive Benefits package including 401k!

Our Mission

We partner with healthcare providers to maximize reimbursement from complex claims payers by having the best people, processes, products and performance.

Our Vision

We enable healthcare providers to do what they do best.

Position Summary

The Manager, Medicaid supports the VP of Operations by managing client/partners and staff with processing hospital and physician Out-of-State Medicaid claims.

Key Responsibilities

  • Provide full revenue cycle management services for clients in resolving hospital and physician Out-of-State Medicaid claims
  • Oversee daily operations and coordinate activities of team members to ensure that all operations are occurring in the most optimized, efficient, and cost-effective manner.
  • Manage the Authorizations department to include monitoring performance and completing monthly reports.
  • Manage the day-to-day relationships of existing clients to include responding to emails in an efficient manner.
  • Manage the implementation of new clients
  • Meet with staff on a regular, recurring basis to ensure all team members are functioning effectively and meeting the organization's expectations for productivity, quality, continuous improvement, and goal accomplishment.
  • Provide effective performance feedback through employee recognition, rewards, and disciplinary action, with the assistance of Human Resources, when necessary.
  • Coach, mentor, and develop staff, including overseeing new employee onboarding and providing career development planning and opportunities.
  • Ensure team member adhere to policies and procedures designed to ensure delivery of seamless service to clients in compliance with Federal, State and payor regulatory requirements.
  • Analyze, develop, and implement solutions to optimize revenue or cut costs
  • Plan and oversee assigned projects to ensure they are completed in a timely fashion
  • Work with Human Resources to recruit, interview, hire, and employ an appropriate number of employees.
  • Other duties as assigned by senior leadership

Requirements and Qualifications

  • Associate degree preferred
  • Prior experience working for a Revenue Cycle Vendor preferred
  • Minimum 3 years of experience with Hospital and Physician Billing, Coding, Denials, Appeals
  • Working knowledge of Out-of-State Medicaid Claims
  • Working knowledge of hospital EHR systems.
  • Expert computer skills, including but not limited to MS Word, Excel
  • Excellent interpersonal, written, and oral communication skills.
  • Minimum 4 years of experience leading, directing and motivating a large team of direct reports.

Special Considerations and Prerequisites

  • Timely and regular attendance.
  • Must demonstrate exceptional interpersonal skills and exhibit an approachable nature to answer questions from Revenue Specialist staff and mentor and train others regularly.
  • Can-do attitude with service-oriented approach and strong sense of urgency with skills to develop and coach team members.
  • Timely and regular attendance.
  • Must be a self-starter and able to work independently without direct supervision.
  • Proven written and verbal communication skills.
  • Strong analytical and problem-solving skills.
  • Appropriately handle stress and interact cooperatively with others (at all levels of the organization).
  • Proven experience working with external clients; strong customer service skills and business acumen.
  • Ability to prioritize and manage multiple competing priorities and projects concurrently.
  • General office environment; must be able to sit for long periods of time.

EnableComp, LLC
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