1. Operational Documentation and Consistency
• Design and maintain clear operational guides to ensure consistent processes.
• Assist in coordinating day-to-day operations to ensure effective and efficient delivery service.
2. Workflow and Claims Management
• Manage manual distribution of claims or workflow when automated systems are unavailable.
• Track the completion and outcomes of assigned tasks within the team.
• Investigate queue and reporting workflows for efficiency improvements and distribution opportunities.
• Manage schedules, meetings, and communications, ensuring proper documentation and timely follow-ups.
3. Data Analysis and Reporting
• Research historical performance to provide analytics on team outcomes.
• Maintain departmental reports to increase claim monetization, improve quality, and identify revenue opportunities.
• Analyze and maintain departmental reports to improve data quality, identify distribution opportunities, and manage workflow.
• Provide ad hoc reports upon request.
4. Process Improvement
• Observe and analyze processes to identify inefficiencies and suggest improvements.
• Recommend changes to systems and operations to optimize workflow efficiency.
• Support project planning, track progress, and ensure deadlines are met, working closely with cross-functional teams.
• Investigate queue and reporting workflows for efficiency improvements and distribution opportunities.
• Assist with special projects, prioritizing and shifting focus as needed while maintaining daily workload.
5. Collaboration and Communication
• Work closely with managers and coordinate with team leaders, and department heads to manage inventory and maintain distribution levels.
• Facilitate feedback from team members and management and executive teams.
• Present solutions and recommendations to management regularly.
• Collaborate with management and executives to set departmental and organizational goals.
6. Issue Resolution and Internal Service
• Assist peers and department heads in resolving issues or inquiries.
• Assist with team inquiries and resolve operational issues to ensure department satisfaction.
• Deliver reports to management and executives, providing insights into operational efficiency.
7. Training and Peer Support
• Train peers on established processes as needed.
• Back up daily workflows for peers when required.
• Support project planning, track progress, and ensure deadlines are met by working closely with cross-functional teams.
8. Operational Oversight and Efficiency Improvement
• Observe, review, and analyze processes to identify inefficiencies and areas for improvement.
• Recommend changes to systems and operations to improve workflow efficiency within the department.
• Maintain accurate records, monitor performance metrics, and prepare operational reports for management.
9. Compliance and Safety
• Demonstrate the company’s core competencies and values in all activities.
• Handle sensitive data responsibly due to the high-risk nature of the role.
• Assist with other duties, responsibilities, and qualifications as assigned.
• Ensure compliance with HIPAA regulations, company policies, and industry standards.
• Ensure all operations conform to local, federal, and industry regulations.
• Recognize that this is a high-risk role due to exposure to PHI (Protected Health Information) and ensure compliance with all relevant regulations.
• Ensure that all activities comply with local, federal, industry, and company standards, including HIPAA regulations.
• Maintain adherence to organizational policies and safety protocols.
• Perform other duties as assigned to meet the needs of the organization.