Nov 13, 2019
Program Liaison Manager
The Program Liaison Manager is responsible for managing, directing, and monitoring the personnel and the activities supporting the operation and maintenance of WCMBP Programs including, but not limited to, bill intake, authorization, processing, and communication with client.
What you will do:
Research medical bill/claims issues to identify root causes and determine corrective actions to resolve issues, communicate findings and document findings for future use
You will review bills for necessity, limitations and exclusions based on bill policies and procedures
You will assist internal associates with bill-related questions and issues
Identify reoccurring problems and provide feedback to management to affect change.
Maintain current knowledge of Workers Compensation bill processing policies
Responsible for the delivery of the key performance indicators, including quality, productivity and compliance parameters.
Identifies continuous process improvement opportunities and work closely with the government to implement action plans.
Delivers regular and timely coaching and feedback to the team members to enhance performance and for continuous development/succession
Acts as the day-to-day operations client contact in order to resolve complex issues.
Who you are:
You have a familiarity with medical bill forms, ICD-9/10CM coding, CPT coding, bill forms, and other medical coding schemes (certificate desired)
You are knowledgeable in medical terminology
You possess unwavering commitment to customer service and operational excellence
You have either a BS/BA degree, with recent experience of at least:
Five (5) years in project/program management,
Enterprise account level management, or other similar customer facing role consulting on or delivering technical products or services related to medical bill/claims processing or similar environment
Three (3) years of that experience in a project/program management leadership role, consulting on or delivering technical products or services related to medical bill/claims processing or similar environment (may overlap with other experience)
In lieu of a BS/BA you must have the following experience
High School or GED equivalent diploma
A minimum of eight (8) years in project/program management, enterprise account level management, or other similar customer facing role consulting on or delivering technical products or services related to medical bill processing or similar environment
At least five (5) years of that experience must be in a project/program management leadership role, consulting on or delivering technical products or services related to medical bill processing or similar environment (may overlap with other experience
We are proud to be a partner to the public sector, a trail blazer in health IT and a passionate advocate for better health, better care and lower costs for millions of Americans. Innovation is core to our DNA and through our iCare program we invest in the well-being of our employees and the communities in which we live and work. You will be offered a solid compensation package which includes:
Annual and Other Paid Leave
Flexible Spending Account (FSA) Plan
Disability Insurance (Short & Long Term)
401(k) Retirement Savings Plan
Employee Assistance Program
College Savings Plan
Tuition & Training Assistance
Employee Referral Program
CNSI maintains a policy supporting equal employment opportunity. Employment decisions at CNSI are made without regard for race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, marital status, genetic status, family responsibilities, protected veteran status or any other status protected by applicable Federal, state, or local law. We are proud of our diversity and encourage all qualified applicants to apply.
Location: Tallahassee, FL
Please click on link below to be directed to our Application Tracking System for all of our job postings: https://recruiting.ultipro.com/CNS1000CNSI/JobBoard/e4aa9f9f-9eef-4fdd-9e20-9d31133dbfba/OpportunityDetail?opportunityId=887f0b11-02a0-4869-9ca0-f4b0f1e1d5c7
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)