Health Underwriting Director directs and oversees the health insurance underwriting program for individuals and/or groups for medical and/or dental insurance. Responsible for ensuring integrity of underwriting activities and processes. Being a Health Underwriting Director manages staff of underwriters at the organization. Provides assistance to underwriters on more complex applications. Additionally, Health Underwriting Director has a strong knowledge of the underwriting discipline. Requires a bachelor's degree. Typically reports to top management. The Health Underwriting Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Health Underwriting Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)
FT, exempt, 80 hrs/pp, 1.0 FTE; days, Mon.-Fri., varies as scheduled.
Manages the outsourcing relationship/results with the primary Patient Financial Services (PFS) Outsourcing Business Partner and all other PFS business partner contract relationships. Leads Revenue Cycle system and operations integration optimization between: Access functions in clinics and hospital, Health Information Management (HIM), Billing, Revenue Integrity, Payer Enrollment and Providence IT services. Primarily responsible for Payer contract relationships, negotiation and performance adherence. Communicates effectively, coordinates, and implements essential processes and procedures relating to other hospital departments and medical services of the community. Assures that regulatory standards and requirements are met relating to all aspects of the Patient Financial Services. Handles PFS operations, denial/refund/charity approvals not accessible by outsourcing relationship.
Required or Preferred:
Bachelor’s Degree in Business Administration or a combination of education and the equivalent years’ experience relating to Revenue Cycle operations. Working knowledge of all operations functions of all Revenue Cycle Aspects, especially Patient Financial Services, is highly desirable. 5 years of experience with supervision of personnel. Five (5) years increasingly responsible experience in the field of healthcare, and Revenue Cycle in a highly automated environment. Accreditation/certification in patient account management.
Wage: $45.20-$69.97
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