Manager, Quality Assurance - AR Recovery

About the Role

Impact you will make

Are you an expert in healthcare insurance reimbursement? Do you enjoy mentoring Quality Analysts and Assistant Managers? Join our team and play a vital role in ensuring hospitals receive the reimbursements they deserve.

You'll be part of a dynamic team using cutting-edge ARO software to streamline medical claims and collections. As a Manager, Quality Assurance, you will have the opportunity to coach and lead representatives and recommend appropriate solutions to complex scenarios.

As a Manager, Quality Assurance, you will organize and manage the daily activities for the Quality Assurance team. The team's primary function is to identify and validate revenue opportunities associated with insurance eligibility and coverage plans. You will be responsible for selecting talent, onboarding, training, and growing Quality Assurance to the next level. You will also be accountable for quality assurance, productivity metrics and the performance management. You will have the opportunity develop operational expertise and the ability to navigate multiple patient accounting applications.

What you will do

• Performance planning and development: set clear goals, identify areas for improvement, and create plans to enhance employee skills and performance, ultimately aligning individual goals with organizational objectives
• Lead, manage, motivate Quality Assurance team
• Ensure operationalization and commercialization of ARO solutions; partner with Product and other teams on building needed documentation, programs, and workflows
• Drive process optimization and revenue growth within ARO
• Partner with implementation to onboard new clients and own steady state customer success post-implementation
• Work with customers and internal teams to build customer success plans, establishing critical goals to aid the customer in achieving their objectives

• Define and improve solution KPIs, other quality and success metrics; Improve NPS, KLAS ratings, client retention, client usage, and adoption through systematized feedback loops and increased emphasis on product stickiness

What you will bring

• 4+ years' experience as a successful operational leader; to include leading performance planning and development

• 5+ years of proven success with healthcare insurance billing, follow-up, reimbursement and collections in a hospital or BPO vendor environment

• 3+ years of experience as a Hospital Denials Quality Analyst

• Proven ability to lead others via influence, as well as through direct reporting relationships
• Ability to implement, and review policies as needed within ARO Organization
• Ability to work and communicate with stakeholders (internal and external) to effectively impact decision making, adoption and utilization of solution, and execution against key initiatives
• Strong decision-making skills in the absence of perfect data; deals well with ambiguity and drives innovative approaches to problem solving
• Ability to operate with little to no supervision in a complex and dynamic environment
• Proven experience managing multiple competing priorities, ability to delegate to others
• Exceptional communication, listening, and collaboration skills

What we would like to see

• Bachelor's Degree or equivalent experience
• Previous experience operationalizing and growing revenue recovery solutions
• Knowledge of provider and payer operations, challenges, technologies and key business issues
• Understanding of the importance of team development; advancing training, skills, etc. that allow for scaled operational capability