Health Insurance Manager
hace 4 semanas
**Responsibilities**:- Monitor and manage productivity and performance of assigned employees including daily/weekly/monthly department metrics to Senior Leadership and provide reporting and action plans for improvement.- Maintains positive leadership and gives frequent performance feedback to team members and invites two-way communication.- Coaches established employees when needs are identified, holding employees accountable for results through coaching and development of action plans.- Monitor Prior Authorization and Eligibility automation processes- Assist IT team in developing new automation processes for authorization submission/tracking and insurance verification- Work closely with billing team for claim denials related to authorization and eligibility- Produces productivity and error reports to assess staff.- Prioritize work to maximize turn-around time.- Contacts insurance plans to determine eligibility, prior authorization and obtain coverage and benefit information.- Documents findings thoroughly and accurately.- Performs training with organizational staff on procedures for requesting, documenting, and processing prior authorizations.**Requirements**:- High school diploma or equivalent required.- Bachelor’s degree preferred.- 3 years of BPO experience preferred- Strong background and experience in Process improvement LEAN preferred- 4+years in a leadership role preferred- Ability to lead a team by demonstrating a positive attitude, openness to change, willingness to help, and respect for others and their ideas- Excellent verbal and written communication skills- Detail oriented, reliable, and able to multi-task in a fast-paced, high-volume work environment- Demonstrated computer literacy and excellent math skills- Ability to maintain a high level of confidentiality and professionalism- Fluent in English and Spanish required**Benefits**- IMSS 100%- Vacations (after the first year)- Christmas bonus- Weekends off- Paid Training- Mexican Holidays off
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Contract Mental Health Therapist
hace 3 semanas
Tijuana, México Samata Health A tiempo completo**About Samata Health**Samata Health is a mental health startup offering a premium employee mental health benefit for small and midsize businesses. We host networks of great therapists around the world where our clients have employees. On our HIPAA-compliant, digital platform, employees can search for therapists by clinical specialties, cultural competencies...
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Health Insurance Manager
hace 2 días
Tijuana, México USA Clinics Group A tiempo completo**Responsibilities**: - Monitor and manage productivity and performance of assigned employees including daily/weekly/monthly department metrics to Senior Leadership and provide reporting and action plans for improvement. - Maintains positive leadership and gives frequent performance feedback to team members and invites two-way communication. - Coaches...
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Health Insurance Manager
hace 5 horas
Tijuana, México USA Clinics Group A tiempo completo**Responsibilities**:- Monitor and manage productivity and performance of assigned employees including daily/weekly/monthly department metrics to Senior Leadership and provide reporting and action plans for improvement.- Maintains positive leadership and gives frequent performance feedback to team members and invites two-way communication.- Coaches...
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Health Insurance Manager
hace 1 semana
Tijuana, México USA Clinics Group A tiempo completo**Responsibilities**: - Monitor and manage productivity and performance of assigned employees including daily/weekly/monthly department metrics to Senior Leadership and provide reporting and action plans for improvement. - Maintains positive leadership and gives frequent performance feedback to team members and invites two-way communication. - Coaches...
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Call Center Manager
hace 2 semanas
Tijuana, México USA Vein Clinics A tiempo completoUSA Clinics Group is Hiring! We are looking for an **Insurance Manager** (Operations Manager) with knowledge on Health Insurance Providers (Medical Insurances) from the U.S. and their policies. - **Responsibilities**:_ - Overseeing the hiring and training of the staff. - Efficiently managing the insurance department. - Planning and structuring the...
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Call Center Manager
hace 3 días
Tijuana, México Usa Vein Clinics A tiempo completoUSA Clinics Group is Hiring!We are looking for an Insurance Manager (Operations Manager) with knowledge on Health Insurance Providers (Medical Insurances) from the U.S. and their policies. Responsibilities Overseeing the hiring and training of the staff. Efficiently managing the insurance department. Planning and structuring the department workflow and...
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Insurance Manager
hace 1 semana
Tijuana, México USA Clinics Group A tiempo completo**Job Description**: - Clinical documentation improvement specialists - Administrative staff and clerks **Responsibilities**: - Monitor and manage productivity and performance of assigned employees including daily/weekly/monthly department metrics to Senior Leadership and provide reporting and action plans for improvement. - Maintains positive leadership...
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Insurance Manager
hace 2 semanas
Tijuana, México USA Clinics Group A tiempo completoClinical documentation improvement specialists - Administrative staff and clerks **Responsibilities**: - Monitor and manage productivity and performance of assigned employees including daily/weekly/monthly department metrics to Senior Leadership and provide reporting and action plans for improvement. - Maintains positive leadership and gives frequent...
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Insurance Manager
hace 2 semanas
Tijuana, México USA Clinics Group A tiempo completo**Responsibilities**: - Monitor and manage productivity and performance of assigned employees including daily/weekly/monthly department metrics to Senior Leadership and provide reporting and action plans for improvement. - Maintains positive leadership and gives frequent performance feedback to team members and invites two-way communication. - Coaches...
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Insurance Operations Supervisor
hace 6 días
Tijuana, México Integon Service Co. A tiempo completoBe the voice of Integon Service Co! We’re looking for people who are energized, engaged and empowered to help execute on company goals by helping our policyholders! You are a problem-solver and brand ambassador for a fast growing, customer-centric personal lines insurance company. Our goal is to provide WOW service to each and every customer and...
