Health Underwriting Manager manages the health insurance underwriting program for individuals and/or groups for medical and/or dental insurance. Ensures integrity of underwriting activities and processes. Being a Health Underwriting Manager participates in the development of master policies and other official documents. Verifies that the account contracts are in compliance with government regulations. Additionally, Health Underwriting Manager typically is a RN with clinical experience. Requires a bachelor's degree. Typically reports to a director. The Health Underwriting Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Health Underwriting Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
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Health Information Manager is responsible for successful maintenance of patient records and organizational and administrative operation of the Health Information Management Department. Manages the responsibility for operational aspects of department. Serves as resource for facility regarding medical record content and regulatory requirements. Always assures availability of the medical records per hospital policy. Assure Physician/LIP credentialing/recredentialing per company policy and procedure. Assures duties are done in accordance with facility policies and procedures, JCAHO, federal and state regulations, and QAPI standards.
PREFERRED KNOWLEDGE, SKILLS, AND/OR EXPERIENCE REQUIRED:
Education: High school diploma with additional training in Health Information Management department functions (i.e. certified health information management technician or other such certification or training).
License: State of Practice. If applicable
Experience: At least 1-year supervisory experience and 3 years as an HIM Manager or an equivalent role. Psychiatric HIM experience is preferred to adequately perform duties in this position.
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