Bill Review Manager Remote 2023-1267

Bill Review Manager Remote Overview Are you energized by working in a fast-paced billing department and making a difference in the lives of members of the World Trade Center Health Program? Do you have excellent communication skills, strong management, customer service, and organizational skills, and want to be part of an organization where caring truly counts? Join our team of caring colleagues and help us make a difference in the lives of those, specifically survivors and the brave responders, directly affected by the September 11th terrorist attacks. As a Sedgwick Government Solutions Bill Review Manager, you will work remotely in your home office and be responsible for managing and providing leadership and guidance to the Bill Review unit related to bill processing and payments ensuring a highly productive, cost-effective unit; and ensuring the Bill Review unit meets departmental goals and objectives. Bill Review Manager Responsibilities * Manages and administers bill review and processing; develops bill review/processing procedures and policies. * Develops, creates, and maintains current manuals and other references ensuring compliance with regulations, as well as internal and external goals and objectives. * Assigns and monitors workflow for the unit ensuring processing is accurate and timely; ensures the unit is highly productive and cost-effective. * Provides process, procedure, and system training to unit staff; trains and educates the medical groups in billing procedures. * Audits and recovers overpayments. * Analyzes and resolves billing issues. * Reviews and analyzes payment histories to determine proper payments; audits and recovers overpayments. * Collects, evaluates, and utilizes data from various sources to monitor and improve processing performance. * Conducts staff meetings; keeps staff abreast of policy and procedure changes. * Performs other duties as assigned. Bill Review Manager Qualifications * Bachelor’s degree from an accredited college or university is preferred. * Six (6) years of medical bill review/ payment experience plus customer service call center experience or equivalent combination of education and experience required to include two (2) years of management experience.Thorough knowledge of medical bill review and payment processes and procedures * Excellent oral and written communication, including presentation skills * PC literate, including Microsoft Office products * Leadership/management/motivational skills * Experience working in the Health Care industry * Excellent oral and written communication skills * PC literate, including Microsoft Office products * Strong organizational skills * Good interpersonal skills * Analytical and interpretive skills * Excellent interpersonal skills * Excellent negotiation skills * Good judgment and discretion skills * Ability to manage reports and metrics * Ability to manage multiple projects and set priorities * Ability to work in a team environment * Ability to meet or exceed Performance Competencies * U.S. Citizenship * Prior to hiring and training must be able to pass a preliminary credit and background check For a career path that is both challenging and rewarding, join Sedgwick Government Solution’s talented team. Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees, and their customers. At Sedgwick Government Solutions, caring counts®. Join our team of creative and caring people and help us make a difference in the lives of others. In addition to a competitive salary, comprehensive health and welfare benefits, tuition reimbursement, and incentive compensation, Sedgwick Government Solutions offers participation and vesting in a 401(k) plan with a company match. If you would like to contribute to our important mission and work collegially in a professional organization that values intelligence, integrity, and initiative, consider a career with Sedgwick Government Solutions. To be considered for this position, please submit a resume, and complete the application. The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required. Important Information Successful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire. Search Firm Representatives Please be advised that Sedgwick Government Solutions (Government Solutions) is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in place before any resumes are submitted to Government Solutions. All resumes submitted by search firms to any employee at Government Solutions without a valid written agreement and task order in place will be deemed the sole property of Government Solutions and no fee will be paid in the event that person is hired by Government Solutions. Government Solutions strives to make our career site accessible to all users. If you need a disability-related accommodation for completing the application process, please contact Government Solutions regarding accommodations. Sedgwick Government Solutions is an Equal Opportunity and Affirmative Action Employer All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person’s relatives, friends or associates. Sedgwick Government Solutions abides by the requirements of41 CFR 60-741.5(a) [http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf]. This regulation prohibits discrimination against qualified individuals on the basis of disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities. Sedgwick Government Solutions abides by the requirements of41 CFR 60-300.5(a) [http://www1.eeoc.gov/employers/upload/eeoc_gina_supplement.pdf]. This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans. About Sedgwick Sedgwick Government Solutions is a fully owned subsidiary of Sedgwick. Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. The company provides a broad range of resources tailored to client-specific needs in casualty, property, marine, benefits, and other lines. At Sedgwick, caring counts; through the dedication and expertise of more than 27,000 colleagues across 65 countries, the company takes care of people and organizations by mitigating and reducing risks and losses, promoting health and productivity, protecting brand reputations, and containing costs that can impact the bottom line. www.sedgwick.com [https://www.sedgwick.com/]