Insurance Operations Manager
Elara Capital
full-time
Posted on:
Location Type: Office
Location: Worcester • Connecticut, Massachusetts • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Provides day-to-day leadership and operational oversight of the insurance team
- Review and process identified payor change requests; audit for accuracy and completeness
- Review and audit coverage changes via daily, weekly, and monthly report/programs
- Provide maintenance support for program needs
- Develops, implements and maintains departmental policies, procedures and workflows to ensure consistency and compliance
- Support internal and external audits related to insurance, authorization, and billing practices
Requirements
- High School Diploma or GED
- Bachelor's degree in healthcare administration or related field preferred
- Minimum five (5) years billing experience in an appropriate clinical care setting or home health environment preferred
- Knowledge of medical terminology
- Accounting practices or experience preferred
Benefits
- Competitive compensation package
- Tuition reimbursement for full-time staff and continuing education opportunities for all employees at no cost
- Opportunities for advancement
- Comprehensive insurance plans for medical, dental, and vision benefits
- 401(K) with employer match
- Paid time off, paid holidays, family, and pet bereavement
- Pet insurance
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
billing experiencemedical terminologyaccounting practices
Soft skills
leadershipoperational oversightauditingpolicy developmentprocedural implementation
Certifications
High School DiplomaGEDBachelor's degree in healthcare administration