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Primary Job Role
The Team Manager for Margin Operations is responsible to plan, direct and coordinate his/her
team. The Team Manager is responsible for ensuring and improving the performance,
productivity, efficiency and profitability of departmental and organizational operations
through the provision of effective methods and strategies.
Operations & Delivery Manage team production and conduct process Quality monitoring Manage work assignment allocation & review of work list Encourage & engage team members for continuous improvement / process optimization / automation ideas Manage Business Intelligence through reports & MIS for internal / client use Determine validity of move to client, either send back instruction to Rep or approve & move to client. Review coding review requests & quantify preventable issues. Communicate to Billing, PP or Coding as applicable. Scenario findings to all staff for examples that were not valid coding review needs. Work with Coding on responses that can be used in appeals when coded correctly Review denial adjustments for validity - quantify preventable issues. Communicate to applicable departments to minimize and use accounts as examples in training for more effective actions. Review high risk/aged/ excessive incomplete action account balances Manage up review AR findings and feedback Create QA & Tip for week from client, payer, and account assessment scenarios Manage Global Issues Review process / function managed for Global Issues, high risk / aged items, Payer Trends, training needs for team members Create case studies on identified issues impacting team performance / client business and share inputs with Quality & Training Teams
At IKS, we understand that while technology, quality and regulation drive healthcare today, our good intent has burdened our care teams and broken the bond between patients and physicians. Our team designs solutions to bring efficiency and excellence throughout the delivery system and ultimately allow intimacy back in the exam room. When we entered healthcare, we envisioned it would be better, that we could make it stronger. Odds are you did too. As healthcare evolves, our work adapts with perpetual industry change. Together we can make healthcare what it should be.
Job ID: 145556915