What are the responsibilities and job description for the RCM Claims Manager position at VaxCare?
ABOUT VAXCARE
VaxCare is a vaccine management platform that improves immunization rates and vaccine program profitability for healthcare providers. We're a team of vaccine experts, engineers, designers, and big-picture thinkers dedicated to solving the problems faced by modern healthcare practices and staff. By offering relief for headaches in our healthcare system, we work towards our vision: every person, fully vaccinated. VaxCare has a strong history of sustained growth over the past decade. We are a top 10 buyer/biller of vaccine in the USA, but there is still so much opportunity in front of us to keep patients immunized and communities healthy. We are a selective group, looking for "A " teammates to help us continue towards our vision.
THE POSITION
Do you want to be a part of company making real impact on the world of healthcare?
VaxCare’s RCM Team is focused on maximizing partner payments by collecting information, knowledge and money. We research claims, analyze denials and solve problems while adding value to VaxCare’s bottom line. As a result, we play an important part in the company’s rapid growth!
We are searching for someone who is passionate about identifying trends, developing people, and improving processes to maximize performance.
WHAT TO EXPECT IN THIS ROLE
- Identify Trends
- Lead team to identify trends to aggregate denied payer claims into payer trends
- Lead collection of claims aggregated into payer trends
- Analyze data sets using analysis tools
- Lead Team
- Drive team productivity by monitoring metrics and coaching team members
- Drive team quality by monitoring metrics and coaching team members
- Analyze data to determine areas for improvement to achieve team metrics
- Execute training, operational processes, and strategies to maintain performance
- Prepare and present weekly/monthly/quarterly reporting to management that measures progress against established goals
- Process Improvement
- Determine process improvement changes to increase efficiency and effectiveness
- Implement solutions to improve process flow for faster bucketing of payer claims into trends
EXPERIENCE REQUIRED
- Minimum of five years experience in previous Healthcare Collections Role
- Previous supervisory experience leading collection teams to successful results
- The ability to manage a large amount of data, and deliver an informative, relevant message from its content
- Critical thinking and problem-solving skills
- Very Strong Microsoft excel skills required. SQL preferred.
Note: Team Members in this position will be responsible for implementing and acting in accordance with VaxCare’s information security policies; protecting assets from unauthorized access, disclosure, modification, destruction or interference; executing specific security processes or activities as assigned by the Information Security and/ or Privacy officers; and reporting security events or potential security risks to the organization. Team Members in this role will be involved in the processing of protected patient and/or payment information and will be responsible for ensuring the security and privacy of the information within their scope of work.
