Machinify
Manager, Itemized Bill Review (Healthcare)
Remote - US · Mid
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About the role
- Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country.
- About the Opportunity The ideal candidate is responsible for monitoring all day to day operations of the Itemized Bill Review team, collaborating across departments to ensure all SLA's are met, and managing all routine client communication.
- They will coordinate with the Director, Itemized Bill Review to evaluate progression of team results, recommend process improvement solutions, and escalate any necessary issues to leadership.
Responsibilities
- Analyze and track internal business requirements and processes through document and workflow analysis.
- Perform requirements gathering to problem solve for any process-related issues that require attention from development.
- Manage team member's current assignments and collaborate across teams/departments for timeliness to ensure all internal and external SLAs are met.
- Develop and coordinate training materials, quality assurance process, and dispute response workflows for the team.
- Support internal operations to keep the team abreast of any organizational or client policy changes.
- Identify and implement additional savings for clients based on review and research.
Requirements
- 3+ years' experience performing audits of itemized bills.
- 2+ years' experience in a leadership position.
- Experience managing multiple projects in a team environment.
- Ability to prioritize and multitask.
- Must be a strong effective communicator, both orally and in writing, with an energetic, charismatic and approachable style.
- Proven experience in managing high performing dynamic teams.
- Ability to work in a diverse and fast paced environment.
- Strong working knowledge of Windows office systems including full Microsoft Suite and Teams.
- Experience with various forms of software and experience engaging development teams.
- Required Skills/Qualifications:
- Degree in nursing, healthcare administration or coding certification preferred.
- Proven experience with healthcare industry software products and process development.
- Possess a broad and comprehensive understanding of audit standards, policies and regulations, applies a broad and comprehensive knowledge in areas including, medical chart reviews.
- Strong project management and interpersonal skills, makes sound decisions, exhibiting initiative and intuitive thinking.
- Consulted often by others for advice and opinions and recognized as a leadership role model.
- Strong interpersonal skills for interfacing with all levels of internal and external audit teams and management.
Compensation
- $105,000 - $125,000 USD.
- The salary range is for Base Salary.
- Compensation will be determined based on several factors including, but not limited to, skill set, years of experience, and the employee's geographic location.
- Competitive salary, equity, 401(k) including employer match
- In accordance with applicable state laws, we do not inquire about salary history during the recruitment process.
Benefits
- Full Medical/Dental/Vision for employees & their families
- Flexible and trusting environment where you'll feel empowered to do your best work
- Competitive salary, equity, 401(k) including employer match
Company info
- What We Offer - Work from anywhere in the US!
- We are proud to be an equal opportunity workplace.
- If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know.
- We are proud to be an
Equal opportunity
- equal opportunity workplace.
Visa & Work Authorization
- al employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status
This listing is sourced directly from Machinify's careers page and normalized into a canonical job model.