Manager, Insurance and Risk
Job description
LifePoint Health has an opportunity for a Manager, Insurance and Risk in office, in Brentwood, TN. The Manager, Insurance and Risk plays a key role in coordinating multiple facets of the overall risk management department, from training risk managers, members of physician services and various hospital staff to the administration of insurance programs.
LifePoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
ESSENTIAL FUNCTIONS: To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation.
- Manage the claim system and the majority of the employee physician program to include over 2,000 employed providers and more than 90 state specific facilities.
- Provide administration of physician insurance programs, including serving as administrator of the application system, and communicate often with individuals to ensure proper set up.
- Serve as administrator of the claims database system, which involves training of risk managers, writing reports, programing of functions, codes, etc.
- Train and assist physician services members and physicians in the use of the electronic application system.
- Manage the Certificate of Insurance (COI) process and requests from hospitals and physician services.
- Draft reports and provide analysis and interpretation to identify trend identification and financial components.
- Lead administration and serve as administrator of the e-billing system between legal firms, claims database system and in-house program.
- Secure and track bonds needed by the Company’s locations.
- Regular and reliable attendance.
- Perform other duties as assigned.
Additional Information:
Serves both internal co-workers and external customers, clients, patients, contractors, and vendors.
Access to and/or works with sensitive and/or confidential information.
Exhibit an understanding of healthcare regulatory and compliance (e.g., HIPAA). Skilled in the application of policies and procedures. Knowledge of Business Office Standards and Recommended Practices.
BENEFITS:
At LifePoint, our Mission of Making Communities Healthier extends to our employees. We offer an excellent total compensation package, including a competitive salary and benefits. Some of our benefits include 401k, flexible PTO, generous Employee illness benefit (EIB), medical, dental, vision, tuition reimbursement, and an Employee Assistance Program. We believe that happy, healthy people have a passionate engagement with life and work and have designed our package to enhance your wellbeing.
KNOWLEDGE, SKILLS & ABILITIES: The requirements listed below are representative of the knowledge, skills and/or abilities required.
Education: Bachelor’s Degree, or significant subject-matter experience..
Experience: Minimum of 3 years with experience in insurance and/or risk.
Minimum overnight travel (up to 10%) by land and/or air.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
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