Operations Manager

Job Title: Operations Manager

Job Summary:

We are seeking an experienced and detail-oriented Operations Manager to lead our team in overseeing the full revenue cycle process, with a particular focus on collections. This role involves managing a team who handles all stages of the revenue cycle, from patient registration through to final payment, ensuring timely reimbursements and compliance with healthcare regulations. The ideal candidate will have extensive knowledge in healthcare revenue cycle management, including billing, coding, insurance reimbursement, and collections, and will be responsible for driving improvements in operational efficiency and recovery rates. Knowing SQL is a plus.

Key Responsibilities:

• Lead our team of Auditors, Data Analysts, and general operations: Oversee the complete revenue cycle, including billing, coding, insurance verification, and collections, ensuring smooth and efficient operations across all stages.
• Collections Oversight (With the help of our Revenue Cycle Manager): Supervise the collections team, ensuring timely follow-up on claims, resolving payment issues, negotiating settlements, and securing owed payments from insurance companies.
• Claims Management: Monitor and ensure accurate claim submissions, follow up on denials, and ensure proper documentation to prevent payment delays and rejections.
• Insurance Coordination: Work closely with insurance companies to resolve discrepancies and ensure accurate and timely reimbursements.
• Process Optimization: Identify areas for improvement, implementing strategies to streamline workflows, enhance team performance, and improve recovery rates.
• Compliance Management: Ensure all revenue cycle activities comply with healthcare regulations, including HIPAA and other relevant standards.
• Reporting and Analysis: Generate and review performance reports, analyze data to identify trends, and develop strategies for improving efficiency and effectiveness.
• Team Leadership and Development: Provide leadership, guidance, and training to the team to ensure consistent performance, growth, and professional development.
• Client and Stakeholder Communication: Manage relationships with clients and internal stakeholders, providing regular updates on revenue cycle performance and addressing any concerns related to collections or billing.

Qualifications:

• Proven experience in healthcare, with a focus on billing, coding, insurance reimbursement, and collections.
• Strong understanding of insurance reimbursement processes, hospital billing practices, and regulatory compliance standards.
• Leadership experience in managing a team, with a focus on performance optimization and professional development.
• Excellent communication and negotiation skills, with the ability to engage with insurance companies, clients, and internal teams effectively.
• Bachelor’s degree in Business, Finance, Healthcare Management, or a related field is preferred.
• Attention to detail and strong problem-solving abilities to address billing and collections issues promptly.

Benefits:

• Health, dental, and vision insurance.
• PTO.
• Paid holidays.
• Paid sick time.
• 401k.

• **This position is full-time and fully in-person at our office located in Downtown Doral, which is out west in Miami, FL.