Clearinghouse Implementation and Rejections Manager

Role Overview

• The Clearinghouse Implementation and Rejections Manager is responsible for ensuring that the clearinghouse is effectively integrated with the practice management systems.
• Customizing its features to fit the organizations workflow.
• Testing the system to ensure smooth operation.
• Lead on the transition and conversion to Waystar as the chosen clearinghouse.
• Complete enrollment process ensuring all necessary enrollment forms are completed for each payer including Medicare and Medicaid.
• Lead, mentor, and manage a team of front line employees.
• Train the team who will be working within the new clearinghouse while continuing to monitor the previous clearinghouse rejections.
• Analyze reports on clearinghouse rejections, denial trends, and error rates.

Requirements

• High School Diploma or equivalent required.
• Associates level or higher preferred.
• Extensive experience with clearinghouse submissions
• Minimum of five years’ revenue cycle management experience and claims submission within a physician practice.
• Excellent communication, leadership, and team management skills with the ability to collaborate across departments.
• Strong problem-solving skills and attention to detail, with a focus on continuous improvement.
• Proficiency with Excel and other Microsoft Office products with ability to retrieve data, manipulate data and create useful analytical information.
• Knowledge of budget preparation and planning.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Life Insurance
• Pet Insurance
• Health savings account
• Paid sick time
• Paid time off
• Paid holidays
• Profit sharing
• Retirement plan