What are the responsibilities and job description for the Manager of Claims Follow-Up position at ECU Health?
ECU Health
About ECU Health
ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.
The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Childrens Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.
Position Summary
The Manager of Claims Follow-up will manage the resolution of professional and hospital insurance claims.
As the Manager of Claims Follow-up, you will be responsible for creating reports, analyzing data, identifying lost revenue, collecting payments, and implementing revenue cycle management strategies to minimize losses. Ensures claims are adjudicated timely and accurately.
The position executes decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. Defines and provides necessary support to achieve department goals and objectives. Provides oversight and functions as it relates to managing professional and hospital claims follow-up, collections, and other matters related to accounts receivable.
Serves as a subject matter expert on contemporary best practices for revenue cycle workflows, team integration, and excellence in achieving goals.
Minimum Requirements
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicants qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
About ECU Health
ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.
The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Childrens Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.
Position Summary
The Manager of Claims Follow-up will manage the resolution of professional and hospital insurance claims.
As the Manager of Claims Follow-up, you will be responsible for creating reports, analyzing data, identifying lost revenue, collecting payments, and implementing revenue cycle management strategies to minimize losses. Ensures claims are adjudicated timely and accurately.
The position executes decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. Defines and provides necessary support to achieve department goals and objectives. Provides oversight and functions as it relates to managing professional and hospital claims follow-up, collections, and other matters related to accounts receivable.
Serves as a subject matter expert on contemporary best practices for revenue cycle workflows, team integration, and excellence in achieving goals.
Minimum Requirements
- Bachelor's degree or higher or equivalent education and/or 5 years of experience in professional and hospital revenue cycle account receivable management
- 4 years of professional and or hospital directly related management/leadership experience
- Master's degree and/or 10 years related work experience
- Previous Vendor Management experience
- 40 hours a week
- Hybrid ()
- Monday - Friday (8 am - 5 pm)
- Required to work on-site and remote, when requested
- May be required to work other hours and occasional weekends due to project needs
- Great Benefits
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicants qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
