Conduent Manager of Medical Bill Review in Lakeland, Florida

Manager of Medical Bill Review

Description

Conduent is the world's largest provider of diversified business process services with leading capabilities in transaction processing, automation, analytics and constituent experience. We work with both government and commercial customers in assisting them to deliver quality services to the people they serve.

We manage interactions with patients and the insured for a significant portion of the U.S. healthcare industry. We are the customer interface for large segments of the technology industry and the operational and processing partner of choice for public transportation systems around the world.

Whether it's digital payments, claims processing, benefit administration, automated tolling, customer care or distributed learning Conduent manages and modernizes these interactions to create value for both our clients and their constituents. Learn more at www.conduent.com at https://conduent.taleo.net/enterprise/enterprise/www.conduent.com .

If you meet the requirements of this position and want to work for a world-class company with a great marketplace reputation, apply today.

Our workers’ compensation solutions include medical bill review, clinical programs and analytics to improve efficiency and save budget.

Title: Manager of Medical Bill Review

Position Overview:

  • The overall responsibility of the Manager of Medical Bill Review is to ensure the success of the department through management of production, quality and turnaround time of medical bills, employee retention as well as client.

  • Adapts and executes functional or departmental business plans and contributes to the development of organizational strategies

  • Anticipates internal and/or external business challenges/ regulatory issues

  • Decisions are guided by functional strategies and priorities

  • May include international accountability; and may include some global accountability

Primary Responsibilities:

  • Ensure productivity and quality expectations of bill review unit are met

  • All aspects of employee relations including recruiting, coaching, performance appraisals, corrective action and termination

  • Review and approval of over-threshold bills and batches

  • Review and approval of network invoices

  • Contribute actively to the success of the bill review unit by working with IT to drive system efficiencies that will positively impact service delivery and strategic initiatives

  • Organize bill review tours for employees, clients and prospective clients

  • Organize bill review training for new hires from other departments

  • Travel as appropriate for client meetings and/or industry conferences

Collateral Responsibilities:

  • Demonstrate the ability to work individually, as well as collectively, to address business challenges.

  • Demonstrate ability to manage time effectively and efficiently.

  • Assume additional duties and responsibilities.

  • Take responsibility for continuous learning and development of skills necessary to fully contribute to the organization.

Preferred Qualifications:

  • Degree in Business or related field or equivalent workers compensation medical bill review experience

  • Prior experience running a successful workers compensation bill review operation

  • Prior employee relations experience

  • Prior customer service experience

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the “Submit” button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form. at https://downloads.conduent.com/content/usa/en/file/conduent-applicant-adaaa-referral-form.pdf

Job Service Delivery Healthcare

Primary Location United States-Florida-Lakeland

Organization Financial Service Healthcare

Unposting Date Ongoing

Req ID: 18012670