Health Insurance Operations Manager jobs in Rialto, CA

Job description

Our Story

Savas (pronounced sah-vus) is a derivative of the word Seva (pronounced say-va), which means an act of selfless service and compassionate care. At Savas Health we strive every day to live up to that definition by providing the best care possible for our complex patient population. Our team of medical doctors, psychologists, chiropractors, acupuncturists, dietitians, and massage therapists work together within a revolutionary transdisciplinary model that addresses the quadruple aim of healthcare: enhancing patient experience, improving patient health, reducing healthcare costs, and increasing employee satisfaction. Visit our website at www.savashealth.com.

Job Duties

General Duties:

• Support all clinical services to enhance the quality of care provided to all patients.
• Comply with company policies, regulatory and safety standards, and code of conduct.
• Create and facilitate a healing environment for patients, staff, and providers.
• Represent company interests and image to the community.
• Maintain a safe and clean working environment.
• Uphold company vision and values.
• All other duties as assigned.

Responsibilities

• Responsible for day-to-day operations of our service lines.
• Manage patient scheduling (authorizations, etc.) for clinical appropriateness and productivity.
• Manage staff scheduling for proper coverage and support for providers.
• Manage providers scheduling to ensure schedules are at capacity.
• Ensure coverage is provided when staff or providers are on vacation or call out sick.
• Onboard & train new and existing staff on all clinical and operational matters for quality control.
• Complete daily billing reconciliation including documentation and coding.
• Responsible to minimize clinic/provider driven patient rescheduling.
• Account for and place orders for all medical supplies to ensure proper inventory.
• Responsible for auditing of clinical charts/documentation and quality
• Review checkout sheets for proper documentation and referral measures.
• Review DME log sheets for documentation and to meet or exceed set goals.
• Ensure that all co-pay (cash) collections are logged and processed appropriately.
• Generate weekly staff accountability and performance reports for management.
• Generate weekly provider accountability and performance reports for management.
• Implement protocols for predictable unplanned events that will occur.
• Troubleshoot unpredictable unplanned events that may occur.
• Have morning huddles and prepare staff/facility daily to avoid communication issues.
• Responsible for patient flow, time management and customer service.
• Aid in local marketing efforts with community networking and representing company.
• Responsible for overall patient satisfaction and experience.
• Ensure facility is clean and organized to deliver quality care.

Qualifications

• Bachelor’s degree in Business Administration, Healthcare Management, or related field preferred. Other education and/or professional certification may be considered for substitution.
• Master's degree in relevant field preferred
• Ten (10) years or more of related work experience in a lead or supervisory position preferred.
• Hospital setting management experience preferred
• Bilingual (English/Spanish) preferred.

Conditions: The physical demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this job. Similarly, the work environment characteristics described are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Demands: While performing the duties of this job, the employee is regularly required to sit, use hands to manipulate equipment, and to talk and hear. The employee is required to stand, walk, reach with hands and arms, and stoop, kneel, or crouch. The employee must occasionally lift and/or move up to 75 pounds. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus.

Work Environment: The noise level in the work environment is high to moderate.

Disclaimer: The above statements reflect the general details considered necessary to decide the principal functions of the job identified and shall not be construed as a detailed description of all work requirements that may be inherent in the job. Job incumbents are expected to perform other duties necessary for the effective operation of the position, facility, or the business.

The position purpose, principal accountabilities, essential functions, minimum qualifications and the requirements listed in this job description are representative only and are not exhaustive of the tasks that a Team Member may be required to perform. Savas Health reserves the right to revise this job description at any time, and to require Team Members to perform other tasks as circumstances or conditions of its business considerations or work environment change.

Equal Opportunity Employer: Savas Health is an Equal Opportunity Employer. We encourage applications from all individuals regardless of race, religion, color, sex, pregnancy, national origin, sexual orientation, gender identity, gender expression, ancestry, age, marital status, physical or mental disability or any other protected class, political affiliation or belief.

Job Type: Full-time

Salary: From $70,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Healthcare setting:

• Medical office

Schedule:

• 8 hour shift
• Monday to Friday

Ability to Relocate:

• Victorville, CA 92395: Relocate before starting work (Required)

Work Location: In person