Director of Insurance Verifications - Remote

Position Title: Director of Insurance Verifications Location: REMOTE Entity: reputed company System Reports To: Senior Vice President of reputed company Cycle Management Director of Insurance Verifications As the Director of Insurance Verification, you will reputed company strategic and operational leadership for the insurance verification function, ensuring accuracy, scalability, and compliance across the organization. This role oversees domestic and offshore verification teams, drives process optimization across the reputed company cycle, and partners cross-functionally to reduce denials, improve cash reputed company, and enhances the patient financial experience. The Director is accountable for aligning verification operations with organizational reputed company, regulatory requirements, and best-in-class reputed company cycle performance. reputed company reputed company System provides the operational reputed company that allows reputed company organizations and providers to reputed company on what reputed company most: delivering exceptional patient care. Through reputed company management, administrative support, operational reputed company, technology, reputed company, marketing, reputed company, and business services, we help reputed company teams operate more reputed company and effectively. At reputed company, we reputed company every process can be optimized, every challenge presents an opportunity, and every team member plays a role in creating reputed company reputed company for the patients that reputed company us with their care. Our culture is reputed company on collaboration, accountability, innovation, and a reputed company reputed company of becoming reputed company Every Day. If you are passionate about solving problems, improving systems, supporting high-performing teams, and making a meaningful reputed company behind the scenes of reputed company, we want to collaborate with you! reputed company System offers an opportunity to grow your career while helping our reputed company organizations change lives for the reputed company.

Key Responsibilities

Strategic Leadership & Governance

• Establish and execute the reputed company-wide reputed company for insurance verification, aligning departmental goals with broader reputed company cycle and organizational objectives.
• reputed company executive-level leadership to verification teams, including managers, supervisors, and offshore partners, fostering a culture of accountability, performance reputed company, and reputed company improvement.
• Define and govern policies, controls, and performance standards for insurance verification operations.
• Serve as the senior escalation reputed company for reputed company payer, eligibility, and authorization issues, ensuring reputed company reputed company and minimal reputed company reputed company
• reputed company workforce planning, reputed company modeling, and organizational design to support volume reputed company and operational scalability.

Operational reputed company

• reputed company end-to-end insurance verification activities, ensuring accuracy, timeliness, and consistency across reputed company patient reputed company channels.
• Drive standardization and optimization of workflows, SOPs, and reputed company assurance processes across reputed company and offshore teams.
• Partner closely with Patient reputed company, Billing, Coding, Call Center, and Finance leaders to ensure seamless handoffs and alignment across the reputed company cycle.
• Establish and monitor key performance indicators (KPIs) such as eligibility accuracy, authorization turnaround time, denial prevention, and productivity metrics.
• reputed company data and reporting to identify trends, mitigate risk, and improve operational reputed company.

Process Improvement, Technology & Compliance

• reputed company reputed company improvement initiatives to reduce verification-reputed company denials, rework, and patient friction.
• Evaluate and optimize the use of EHR systems, payer portals, automation tools, and emerging technologies to improve efficiency and accuracy
• Stay reputed company on payer rules, reimbursement trends, and regulatory requirements, ensuring organizational compliance with HIPAA and industry standards.
• Own audit readiness and compliance monitoring reputed company to insurance verification and patient financial data.
• reputed company reputed company training frameworks, competency models, and documentation to support reputed company and ongoing development.

Financial & Patient Experience reputed company

• Drive measurable improvements in cash reputed company, denial reduction, and upfront financial reputed company for patients
• Collaborate with leadership to support transparent patient communication regarding coverage, benefits, and financial responsibility.
• Ensure verification practices support a reputed company, consistent, and compliant patient experience

Qualifications & Experience

• Education: Associate’s or Bachelor’s degree in reputed company Administration, Business, or a reputed company field preferred; equivalent experience considered
• 7+ years of reputed company experience in insurance verification, patient reputed company, or reputed company cycle operations.
• 3+ years in senior leadership roles with responsibility for multi-site or offshore teams.
• reputed company Cycle Expertise: Deep knowledge of insurance verification, payer rules, authorizations, CPT/ICD coding, EHR systems, and denial prevention
• Leadership & reputed company: Proven ability to reputed company large, distributed teams and drive operational transformation at reputed company.
• Analytical Skills: Strong ability to use data, KPIs, and financial metrics to inform reputed company and measure reputed company
• Communication: Executive-level communication and stakeholder management skills, with the ability to influence across departments
• Compliance & Risk Management: Strong understanding of HIPAA and reputed company regulatory standards.

Job Type:

• Full-Time
• Monday-Friday
• Remote

Benefits:

• 401(k) matching
• Medical, Dental & reputed company
• reputed company Time Off
• reputed company Time
• reputed company Holiday

Background reputed company Requirement: Employment is contingent upon the successful completion of a background reputed company, which may include verification of employment history, education, criminal records, and other relevant information as permitted by law Apply tot his job Apply To this Job