Healthfirst Manager, Enrollment and Billing Accounts Receivable in New York, New York

Overview:

Healthfirst is a provider-sponsored health insurance company that serves more than 1.2 million members in downstate New York. With more than 4,000 employees, a network of nearly 30,000 providers, and revenues in excess of $8.6 billion, Healthfirst is one of the largest health plans in the New York City area.

Our members are our North Star, and our mission is guided by their needs and preferences in ensuring a superior experience and access to the highest quality healthcare when and where they need it. Healthfirst’s commitment to quality and member satisfaction has helped us earn top ratings for HMO health plans in New York City. We know that employees shape our company and connect us to our communities, and we look to recruit and retain intelligent, driven leaders who are passionate about healthcare and embody our five culture drivers:

  • Dream Big, Plan Wisely

  • Break Down the Walls

  • Think Critically, Speak Up, Deliver with Pride

  • Inspire Through Trust, Lead By Example

  • Be Unstoppable

Position Summary:

The Manager of Enrollment and Billing Accounts Receivable is responsible for overseeing the payment handling functions for Enrollment and Billing. These functions include but are not limited to payment scanning and payment posting, payment rejections and suspense, returned payments, and refunds. The role focuses on monitoring operational efficiency, reporting quality outcomes and providing solutions that address the outcomes. In addition, the Manager ensures deadlines are met and the support of external projects is executed timely and accurately. The role is responsible for monitoring employee performance and implementing improvement solutions as well as hiring new staff and overseeing all appropriate training.

Responsibilities:

Duties & Responsibilities:

  • Implements and communicates departmental standards

  • Manages employee performance and the quality of the team's work

  • Ensure department productivity and quality service levels met

  • Develops effective leaders, and provides leadership to entire team

  • Establishes and implements departmental goals, review goals on monthly basis and implement a Plan of Action to address opportunities

  • Manage their team's performance through coaching, feedback, and documentation where appropriate.

  • Primary interface with the CBOs to discuss accounts receivable issues. Travels regularly to external offices to coordinate activities.

  • Engages with other departments to ensure excellence in customer service and operational excellence around Accounts Receivable processes and process improvements.

  • Ensures User Acceptance Testing, data analysis/reporting, and business requirements are completed in a timely and accurate manner by the Analyst

  • Partners with direct reports to resolve problems through root cause analysis and the identification and implementation of short term and long term solutions to the problems

  • Proactively seek to identify opportunities for increased quality and efficiency; partner with direct reports, the analytics team, and/or IT to implement the corresponding solutions.

  • Additional duties as assigned

Qualifications:

Minimum Qualifications:

  • Leadership experience in a high volume production billing, enrollment, claims, call center environment or related environment

  • Background in providing customer service or improving the member’s experience while addressing customer issues and complaints in a timely manner

  • Direct supervisory or management experience in an operational department within the healthcare industry (which can include commercial insurance plan, hospital, nursing home, third party administrators, or other related area)

  • Experience managing inventories, overseeing performance management (production based metrics) and staff development of assigned personnel

  • Understanding of member accounts receivable processes in order to optimize and streamline current processes effectively as needed

  • Experience addressing, documenting, managing employee relation issues (i.e. attendance, tardiness, or behavioral concerns) and fostering positive employee relations

  • High school diploma or GED from an accredited institution

Preferred Qualifications:

  • Strong communication and presentation skills through all levels

  • Any experience with employee performance management systems

  • Experience with User Acceptance Testing, Data Analysis/Reporting and defining Business Requirements

  • Demonstrate the ability to effectively work cross-division for successful outcomes

  • Demonstrate a sense of urgency in problem resolution and management

  • Can oversee the implementation of projects and effectively communicate outcomes with all level staff

  • Keeps up to date with healthcare practices, laws regulations and trends through participation in professional development activities

  • Knowledge of basic accounting principles and practices

  • Bachelor's degree from an accredited institution

Requisition ID 2017-15457

Job Locations US-NY-New York

Department Name Enrollment and Billing

Equal Opp Statement -

Healthfirst is an Equal Opportunity Employer and does not discriminated against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity or expression, veterans, disability status or any other characteristic protected by law.

Reasonable accommodation statement -

If you have a disability under the Americans with Disability Act or a similar law, and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 1-800-401-6000. In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.