Operations Manager (Medicaid Eligibility)

Elevate Patient Financial Solutions has an exciting career opportunity available as an Operations Manager II. This hybrid position will support 7 hospitals in the Greater Nashville, TN area and will require hospital presence. The Full Time schedule for this role will be Monday-Friday; 8am-5pm with flexibility as needed . Job Summary This role serves as the face of ElevatePFS to our hospital clients on a day to day basis. The purpose of this position is to lead and manage all operational staff and client portfolios encompassing the assigned area within the division of the eligibility service line. Ownership of staff and associate procedures, clients and associated relationships, and revenue and cost functions is crucial. Essential Duties and Responsibilities Responsible for day to day operations of staff and client needs Manage and orient staff; assigns work, develops work schedules, instructs in proper procedures; assists with development and revision of department processes/procedures. Monitor staff performance, provides employee recognition and feedback Document issues and concerns to their direct supervisor Work collaboratively with the Regional VP to establish staff goals. Monitor overall project performance and provides monthly analysis of certification performance; reports findings and implements solutions when negative trends are noted Monitor billing procedures and documentation and provides updates with regulatory compliance; conducts periodic audits; and maintains files. Develop relationships with clients and county agencies Serve as the Point of Contact for Elevate PFS's client hospitals and Address client issues immediately as they arise Ensure all communication from patients and providers have timely follow-up and resolution of complaints and concerns Provide adequate training needs to the staff related to policies/procedures or government regulations Represent Elevate PFS at client department meetings Develop and implement effective communication channels to provide information to all staff members Work collaboratively with other facets of the operations which includes Disability, AR Services, Early Out, IT and HR. Other duties as assigned. Qualifications and Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities. High School Diploma or GED; Bachelor's Degree preferred Minimum of 2 years of management experience, managing at least 5 people Hospital revenue cycle experience preferred Familiarization with state and federal programs Strong leadership and communication skills, high service orientation and strong computer system and analytical skills are required. Excellent time management skills Accustomed to working in a rapidly changing environment Experience with Hospital systems such as STAR, EPIC, Cerner, Meditech, etc. Working knowledge of Microsoft Office Suite and the ability to learn computer applications Knowledge of HIPAA, ACA and EMTALA regulations Excellent communication skills both written and oral Remote and Hybrid positions require a home internet connection that meets the company's upload and download speed criteria. Position will require local travel between hospitals; valid drivers license and reliable transportation is required Benefits ElevatePFS believes in making a positive impact not only within our industry but also with our employees -the organization's greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families. Medical, Dental & Vision Insurance 401K (100% match for the first 3% & 50% match for the next 2%) 15 days of PTO 7 paid Holidays 2 Floating holidays 1 Elevate Day (floating holiday) Pet Insurance Employee referral bonus program Teamwork: We believe in teamwork and having fun together Career Growth: Gain great experience to promote to higher roles The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage. The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change. ElevatePFS is an Equal Opportunity Employer Pay Range: $60,000 - $87,000 per hour

Created: 2024-11-05