Bill Review Manager III

MN - Minneapolis
3001 NE Broadway St
Suite 600
Minneapolis, MN 55413, USA

The Bill Review Manager is responsible for the overall operation of a designated bill review office. The Manager participates in formulating and administering company best practices as well as developing long‑range goals and objectives, analyzing costs, activities and operations, supporting the goals of Bill Review department and of Cor Vel.

This is a hybrid position.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• Responsible for financial operations, including, but not limited to: productivity, profitability, expenses, budgeting, billing and collections
• Responsible for implementing new business development, including marketing and sales activities
• Responsible for directing a team of employees in their day‑to‑day operations ensuring productivity and quality goals are met in accordance with company expectations
• Responsible for quality provider, claims, and client interaction
• Responsible for human resources matters
• Must be able to travel overnight and attend meetings
• Requires regular and consistent attendance
• Visit Cor Vel customers and participate in training sessions with management
• Represents the company in a professional manner to both internal and external customers and clients
• Directs the performance and development of the employees in their department. Assures peak performance of the team through continued training and coaching, coupled with regular performance evaluations
• Ensures staff compliance with Workers’ Compensation laws and ensures mandated regulatory reporting requirements
• Utilizes Jurisdictional Expertise and knowledge of regulatory rules, statutes and procedures governing the jurisdictions assigned to ensure compliance. Acts as subject matter expert for appropriate jurisdictions
• May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses
• May be required to visit customers and participate in training sessions with management
• Monitors operational workflow and manages appropriate/adequate staffing levels and staff retention strategies
• Develops and oversees the implementation of common bill review practices and procedures
• Promotes operational efficiency and quality by continuously improving processes, people and systems to enhance efficiency, consistency and quality
• Ensures consistent and complete compliance with Cor Vel’s policies and procedures
• Comply with all safety rules and regulations during work hours in conjunction with the Injury Illness Prevention Program (IIPP)
• Additional projects and duties as assigned

KNOWLEDGE &

SKILLS:

• Excellent written and verbal communication skills
• Ability to assist team members to develop knowledge and understanding of bill review practice
• Effective quantitative, analytical and interpretive skills
• Technical knowledge of laws, policies, and procedures in defined territory
• Strong leadership, management and motivational skills
• Ability to travel overnight and attend meetings if required
• Ability to remain poised in stressful situations and communicate diplomatically via telephone, computer, fax, correspondence, etc.
• Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
• Strong interpersonal, time management and organizational skills
• Ability to work both independently and within a team environment
• Knowledge of processing bills on multiple lines of business
• Knowledge of medical terminology, medical billing codes, applicable state fee schedules and/or U&C charge processing
• Contract interpretation
• Ability to be a liaison between multiple departments within the company

EDUCATION & EXPERIENCE:

• Bachelor’s degree, national certification or a combination of education and related experience
• Minimum of 2 years’ experience medical billing and supervisory/management experience
• Licenses as required

PAY RANGE:

Cor Vel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job‑related skills, experience, qualifications, internal employee equity, and market…