What are the responsibilities and job description for the Claims Manager position at WRS Group?
Benefits
Incingo is a medical cost containment company that helps manage everything from short-term post-op to catastrophic care for worker’s compensation claims. We use our nationwide network of proven, credentialed vendors and create customized programs for efficient authorizing and shipping of medical supplies. We also coordinate medical transportation, home health care, and in-home modifications. We are located in Novi and we are looking for a full-time Claims Manager. Hybrid work is available, prefer candidates in Michigan.
We offer a best-in-class benefits package including medical/dental/vision, unlimited PTO, 401k, company-paid life insurance, and long-term disability benefits. We also have frequent company-sponsored events and lunches and snacks in the office.
Our culture is one of caring and collaboration, and we enjoy a flexible and team-oriented environment.
Visit our website or LinkedIn to learn more.
What You’ll Do
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Physician Dispensing providers are proliferating. But WRS is one of the few that’s trusted over time, with 12 years in orthopedic healing. We know what works. And we understand that even the simplest change is tough in a busy practice. So our local support is there 24/7, to help integrate your dispensing program into your day-to-day workflow, seamlessly. Immediate dispensing can make all the difference. Our non-opioid formulary and multidisciplinary approach to healing can help manage patient’s pain through non-narcotic alternatives. Ready access to treatment helps to save you time and saves patients added pain, as post-op treatment regimens begin faster. So patients may return to work faster, too. Along with our on-call pharmacist support for any questions that arise, together, we can fight today’s opioid epidemic.
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Parental leave
- Vision insurance
Incingo is a medical cost containment company that helps manage everything from short-term post-op to catastrophic care for worker’s compensation claims. We use our nationwide network of proven, credentialed vendors and create customized programs for efficient authorizing and shipping of medical supplies. We also coordinate medical transportation, home health care, and in-home modifications. We are located in Novi and we are looking for a full-time Claims Manager. Hybrid work is available, prefer candidates in Michigan.
We offer a best-in-class benefits package including medical/dental/vision, unlimited PTO, 401k, company-paid life insurance, and long-term disability benefits. We also have frequent company-sponsored events and lunches and snacks in the office.
Our culture is one of caring and collaboration, and we enjoy a flexible and team-oriented environment.
Visit our website or LinkedIn to learn more.
What You’ll Do
- Supervise and lead a team of claims specialists and administrators, overseeing daily operations and ensuring compliance with company procedures and industry regulations.
- Streamline and manage the claims processing workflow, including reviewing team service requests for accuracy, timeliness, and completeness.
- Manage a team of claims specialists and administrative staff and provide leadership and support as needed
- Facilitate and oversee obtaining necessary authorization, approvals, and documentation for service request fulfillment
- Ensure timely and proactive follow-up with patients, customers, and payors to expedite service request processing and resolution
- Manage billing operations, ensuring accurate invoicing, timely submissions, appealing EOBs, and effective handling of accounts receivables
- Monitor team performance and KPIs, conduct performance reviews, and develop improvement plans to enhance productivity and accuracy
- Provide training and mentorship to the team, ensuring consistent understanding and application of medical billing requirements.
- Develop, implement, and refine policies and procedures aimed at maximizing efficiency, accuracy, and compliance
- Collaborate closely with other teams to maintain strong communication, foster teamwork, and align efforts toward organizational goals
- Ensure accurate maintenance of payor and vendor records related to pricing, invoicing, and bill payments
- Identify opportunities to improve claims/billing efficiency and accuracy, and implement strategies to achieve these goals
- Demonstrate performance aligned with Incingo guiding principles, including caring, collaboration, trustparency, and innovation
- Bachelor's degree in healthcare administration, business, finance, or a related field
- Minimum of 7 years of experience in claims management, healthcare administration, billing, or accounting
- Proven experience supervising billing and follow-up teams, including conducting performance reviews and implementing improvement strategies
- Strong proficiency with electronic medical records and billing systems
- Expertise in handling accounts receivable, medical claims processing, and knowledge of insurance requirements
- Familiarity with HIPAA privacy and security regulations and commitment to maintaining confidentiality of patient information
- Proven capability to manage multiple priorities, meet deadlines, and thrive in a fast-paced environment
- Effective communication, teamwork, conflict resolution, and interpersonal skills, capable of collaborating across departments
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Physician Dispensing providers are proliferating. But WRS is one of the few that’s trusted over time, with 12 years in orthopedic healing. We know what works. And we understand that even the simplest change is tough in a busy practice. So our local support is there 24/7, to help integrate your dispensing program into your day-to-day workflow, seamlessly. Immediate dispensing can make all the difference. Our non-opioid formulary and multidisciplinary approach to healing can help manage patient’s pain through non-narcotic alternatives. Ready access to treatment helps to save you time and saves patients added pain, as post-op treatment regimens begin faster. So patients may return to work faster, too. Along with our on-call pharmacist support for any questions that arise, together, we can fight today’s opioid epidemic.
