Operations Manager
Acclara Solutions2.4
Remote
Job description
We work hard to make Acclara a great place to work. Our people are our greatest assets, and we encourage employees to grow and develop, assuming greater responsibilities and leadership roles.

JOB SUMMARY

The Operations Manager (hospital billing/insurance follow up) oversees the insurance service area and is responsible for the performance of the staff to ensure that all collection activities produce meaningful revenue for clients and Acclara. This individual is responsible to develop, or contribute in the development of, policies, procedures, and process flows that maximize the patient service accounts receivable efforts. The manager must have the ability to generate reports, meet timelines, and establish and/or execute protocols that meet or exceed the objectives of the organization regarding cash collections, production and quality of service. This individual primarily oversees the Operations Supervisors and related patient service teams; interfaces with clients; and is an integral part of the senior management team.

Responsibilities Operations Manager, Insurance Services

Core responsibilities include but are not limited to the items listed below:

Statistical Reporting
  • Generates/Compiles Production Reports
  • Generates/Compiles Account Receivable Reports
  • Generates/Compiles Employee Personnel Reports
Employee Management
  • Ensures Performance Reviews are Completed Timely
  • Provides Written and Verbal Feedback to Team Regularly
  • Motivates Leaders to Enable Team to Exceed Goals
  • Monitors Attendance – Minimum Attendance Occurrences
  • Ensures Proper Shift Coverage in Accordance to Department Expectations
  • Assists with Hiring – Interviewing and New Hire Development
  • Minimum Terminations
  • Ensures Professional Conduct Among Team
  • Develops/Identifies Training Needs and Career Development of Team
Team Performance
  • Establishes and Measures Production of Team
  • Ensures Production of Team is Above the Department Standard
  • Ensures Assigned Accounts are Worked Timely
  • Monitors Quality of Documentation of Accounts
  • Monitors Quality of In-Coming & Out-Going Paperwork
  • Monitors Quality of In & Outbound Calls to ensure proper follow-up and HIPAA & FDCPA standards are being followed
  • Ensures Patient and Client Satisfaction
Project Management
  • Sets Deadlines
  • Assigns Responsibility
  • Problem Solving
  • Training
  • Responsible to set and or follow the project design, preparation, and delivery of accurate and timely reports
  • Management of client data/tools through project implementation—includes design, test and reporting
  • Troubleshoots, analyzes and resolves interface problems
  • Monitors standards and procedures
  • Assists with the development of detailed project management programs
  • Analyze, prepare and implement data policies, procedures and user documentation
  • Performs process studies, researches and analyzes all aspects of data collection, storage and reporting using statistical, analytical and modeling techniques
Client Management
  • Ensures client satisfaction by addressing issues, concerns and questions
  • Maintains favorable relationships with all clients
  • Ensures all deliverables exceeds client expectations
Skills for role title
  • Staff Management Experience (Healthcare/Insurance Follow-up/AR)
  • Hospital Billing
  • Excellent verbal and written communication skills
  • Reliable attendance record
  • Be familiar with the Fair Debt Collection Practices Act (FDCPA) and the Health Insurance Portability and Accountability Act (HIPPA), and adhere to them always
  • Knowledge of EOBs, CPT & ICD-10 codes, HCFAs, UB92s, HCPCS, DRGs and authorizations/referrals
  • Excellent problem-solving skills
  • Ability to learn / stay abreast of relevant policies
  • Computer literate / able to operate beyond basic functions
  • Ability to type a minimum of 30 wpm
  • Detail oriented and well organized
  • Outstanding listening skills
  • Ability to perform under pressure in a calm manner
  • Basic math skills
  • High degree of accuracy
  • Positive attitude
  • Flexible
  • Team player
  • Obtain Claim Status via the Telephone, Internet and/or Fax
  • Review and Interpret Contractual Terms for Managed Care, Commercial, Medicare, Medicaid and Workers’ Compensation
  • Ability to Assign Workflows and/or Strategies
  • Obtain supporting documentation as required for validation and/or account resolution
  • Billing via Electronic and Hardcopy Submission
  • Resolve Patient Inquiries/Requests in 24 Hour Period
  • Training of Team Members
  • Other duties as assigned
Qualifications for Operations Manager, Insurance Service
  • Minimum 2 years of high volume call center experience required
  • Minimum 2 years of hospital billing experience required
  • Minimum of 2 years of management experience (hospital insurance billing) required
  • High school diploma or equivalent.
COMPETITIVE PAY AND BONUS OPPORTUNITIES AVAILABLE.

Acclara is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin.
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Company details

Headquarters

10713 West Sam Houston Parkway Suite 500 Houston, Texas 77064

Employee

501 to 1000

Industry

Consulting and Business Services

Company Description
Acclara Solutions is a revenue cycle management firm that helps hospitals, health systems, and physician practices recover more revenue more quickly with services for Patient Financial Responsibility, Insurance Reimbursement, and Conversion Assistance. With Service Centers in Texas, Florida, and Pennsylvania, Acclara has been providing patient-first solutions to hospitals and health systems since 2005. By achieving outstanding financial results and minimizing claims denials, hospitals and health systems are able to reinvest revenue into their patient care. By focusing on the patient experience and sharing the right information with them in a respectful manner, patients are more willing to pay their responsibility. Our Passion We are honored by the trust our clients place in us to be their voice to patients and insurance companies, and every member of our team works hard to ensure this trust is well-earned. We know we are an extension of our clients’ billing operations, and with that comes a commitment to responsiveness, diligence to cover every detail, and a passion for serving their patients and their mission. We strive to attract the best talent in the field and assign each client their own dedicated team they come to know and depend upon. Our work speaks for itself and results in long-term partnerships our clients rely on.
Company ratings
  • Overall
    2.4
  • Company & Benefits
    2.6 / 5
  • Culture & Values
    2.3 / 5
  • Career Opportunities
    2.3 / 5
  • Work/Life Balance
    2.5 / 5
  • Senior Management
    2.2 / 5
Company reviews
"Rushed off calls"
Former EmployeePatient Services Representative
Promote who they like not by performance they don’t see you as people they see you as numbers to take calls don’t care about life issues with family you may like we are not in middle of pandemic I’ve lost family members to Covid but employers don’t care
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"Run run run"
Former EmployeeCustomer Service Representative
Acclara has not been the same. The CEO is super sweet and values the employees opinions during round tables but management is messy !! Leadership can't be trust. You can tell business in confidence "open door policy" and it will be on the floor before the end of your shift. Management has no respect and will smile in your face and be clearing your desk during lunch break. Only thing I enjoyed was the Christmas parties and gift card from the CEO during holidays. You will be overworked and under appreciated. The money ain't worth the stress trust me
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"Hate it"
Former EmployeeCollector
I hated the company. Everyone was extremely messy. No room For growth. No empathy for anyone. Beware of this company. No bonus. Just sad. Managers are messy

"Tough gig! "
Former EmployeeSenior Training Specialist
As a trainer I was able to see the nepitism, shark-infested culture there. The original owners lost site of their original workplace objectives; the military would be an improvment. The owners bailed by partnering with other companies and I was shocked to find when I left the company I had been working for was OASIS - not the people presented as the 'owners'. The company has changed hands numberous times since then. It is a VERY strict place to work, which is one thing - but becareful who you cross, many GREAT employees have been run off. Policies there seem clear-cut then it is easy to see that they only apply to the general work staff and not certain 'others'. The turnover there is about 60%, but I have reason to believe it is much higher as few people out of an orientation make it past 90 days. The orientation/training became futile when 2-3 out of a new wave of 24 newhires never made it past probation. I see now too, that they have begun to run employment ads outside the state of Texas. They have exhausted the metro area's pool of potential candidates. It's an employment option, not a good one - this is not a warm and fuzzy environment. Such a shame that the resources exist for ACCLARA to be a top notch place to work but the nepitists have their hand on the blade of descipline. Proceed with caution.
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