CollaborateMD - Sr Manager of Clearinghouse Enrollments (Remote, US)
EverCommerce Solutions Inc

Orlando, Florida

Posted in IT


This job has expired.

Job Info


CollaborateMD is seeking a Sr. Manager of Clearinghouse Enrollments to lead our highly successful company to the next level of operational excellence. Reporting to the Vice President of CollaborateMD, this is a position within a well-funded and industry-leading healthcare information enterprise.

You:

You are a passionate, action-oriented leader with the ability to think outside the box to deliver an exceptional customer experience. You are driven to establish, maintain and grow relationships through active engagement and personable interactions. You play a key role in leveraging your deep understanding of our product, partner channels and customers to help define and implement new ways to grow and retain customers. You are a data-driven, results-oriented operations leader with the ability to effectively manage key initiatives, projects, and processes toward clearly defined OKRs. You thrive on creating organizational clarity, communication, and efficiency in processes by driving resolution, focus, team unity, prioritization, and follow-through. You understand the risks facing the business and can act creatively to mitigate to achieve near and long-term strategic goals. You approach everything you do with a sense of urgency, a spirit of collegiality, and a clear bias for action.

Us:

CollaborateMD, an EverCommerce solution, is a leader in Practice Management and Medical Billing Software-as-a-Service (SaaS) with over 1 million patient claims submitted by doctors and billers using our platform each month. Our software helps healthcare entities thrive in an increasingly complex world by offering best-in-class, affordable products that allow them to focus on what matters most - caring for patients.

EverCommerce [Nasdaq: EVCM] is a leading service commerce platform, providing vertically-tailored, integrated SaaS solutions that help more than 600,000 global service-based businesses accelerate growth, streamline operations, and increase retention. Our modern digital and mobile applications create predictable, informed, and convenient experiences between customers and their service professionals. Specializing in Home & Field Services, Health Services, and Fitness & Wellness industries, EverCommerce solutions include end-to-end business management software, embedded payment acceptance, marketing technology, and customer engagement applications.

Where:

The EverCommerce team is distributed across North America, with more than 40 office locations in the U.S. and Canada. With a widely distributed team, we are used to working remotely across different time zones. This role can be based anywhere in the United States; if you're near one of our offices and want to work in-office, we can set that up, or this role can be 100% remote. Please note that this role will require some travel to the Orlando area if you are not already local. You must be eligible to work in the United States in order to qualify for this role.

Core Responsibilities:

  • Manages all aspects of an organization's customer service policies, objectives, and initiatives.
  • Provides mentoring, leadership, and organization to managers and supervisors. Oversees the creation and implementation of efficient and balanced workflows that maximize efficiency and produce high levels of service quality and customer satisfaction.
  • Monitors and measures service metrics and volume to develop standards, improvements, or changes to workflows and resource allocation.
  • Makes recommendations for changes to products or services based on customer feedback and requests.
  • Engages in resource planning and decision-making. Interfaces with other departments in the organization to ensure the customer service department is prepared to support future products and releases.
  • Supporting performance management & engagement systems and procedures to promote a continuous feedback cycle and growth culture.
  • Implementing best practices in remote work to increase engagement.
  • Prioritizing diversity through recruiting, training, policies, and conversation.
  • Partnering with the VP of Operations + senior management to develop and implement KPIs, building and maintaining budgets, and connecting high level initiatives to day-to-day operations.
  • Be the escalation point to the clients responding with urgency, clarity, competence, and swift fulfillment of all service requests.
  • Identify, evaluate, and plan for opportunities and challenges, to meet and exceed objectives.
  • Create a culture of predictable, growth-driven execution by establishing and executing OKRs, leading the organization toward predictable operational excellence.
  • Establish and refine KPIs across the business to provide visibility and insight into organizational performance.
  • Effectively triage, manage, and prioritize incoming client requests. Handle requests through to resolution, including delegating across teams of subject matter specialists
  • Coach team members on how to identify, develop, track, and measure continuous improvement opportunities with their customers.
  • Establish, assess, and adapt team performance goals, responsibilities, and accountabilities, both short and long term.
  • Other duties or responsibilities as assigned according to the needs of the business.
  • Processing of Clearinghouse tickets for new and established clients.
  • Process requests for new ERA enrollment for new/established accounts, as well as updating new processes with 3rd parties (i.e. Office Ally, Change Healthcare, Availity)
  • Process requests for Enhanced Eligibility Checking for new and established accounts.
  • Creating and updating accounts to the Monitor and 3rd party clearinghouses to submit both claims processing and ERA's
  • Assist clients with resetting missing ERA's
  • Record and report relevant software bugs and errors to accurately and in a timely fashion address the client's needs with appropriate information.
  • Ensure client is kept informed regarding tickets and enrollments.
  • Troubleshooting of clearinghouse issues

Must Haves:
  • Minimum of 3-5+ years of leadership experience with 3-5 years in a Medical Clearinghouse.
  • 3+ years of experience leading a team across departments; Proven track record of managing a team.
  • Bachelor's degree in a related field such as Healthcare Administration or Business Administration
  • Experience: 3+ years of medical claims experience, including contract analysis, billing, clearinghouse connectivity, and loading/configuring new providers in claims adjudication system(s).
  • Professional and Institutional (HCFA, UB, and ANSI 5010) insurance billing experience
  • Solid understanding of EDI standards 270/271, 276/277, 278.
  • Strong experience in project management across a variety of initiatives, especially those of systems and analysis nature, to help ensure Team goals are completed on time with a high level of operational excellence.
  • Highly analytical mindset and technical aptitude for implementing and administering various tools and systems.
  • Exceptional communication and presentation skills with the ability to influence at all levels of the organization, including executive and C-level.
  • Self-starter who takes initiative, can work without supervision and begin projects independently. You are compelled to take action through empowerment.
  • You use strategic thinking to plan for the future. You prepare strategies and conjure ideas that will both cope with the changing environments and consider the various challenges that lie ahead.
  • You demonstrate adaptability and flexibility to change or adjust to meet the needs of the situation or environment.
  • You are a results-oriented entrepreneur that crafts plans and capitalizes on market opportunities to drive revenue.
  • High level of comfort presenting key client-focused solutions in an effort to be the customer advocate within CollaborateMD.
  • Strong critical thinking, analytical skills with an entrepreneurial and proactive mind-set. You have the ability to understand, analyze and interpret data to make organizational, planning and problem-solving decisions.
  • Ability to effectively prioritize tasks and manage time, even under high-pressure situations.
  • Confident navigating Google Apps, Microsoft Office Suite, Salesforce and help desk support software.
  • Proven ability to problem solve, integrate, and grow relationships with both internal and external stakeholders.
  • Ability to analyze data and build scorecards/dashboards in order to assess the health of the department.

Benefits & Perks:
  • Flexibility to work where/how you want - in-office, remote, or hybrid
  • Continued investment in your professional development
  • Robust health and wellness benefits
  • 401k with up to a 4% match
  • Monthly wellness stipend
  • Flexible and generous paid time off
  • Employee Stock Purchase Program
  • Student Loan Repayment Program

EverCommerce is an equal opportunity employer and we value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. We look forward to reviewing your credentials and getting to know more about your experience!


This job has expired.

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