Clinical Intake Operations Manager
Clinical Intake Operations Manager
Specialty Search Group
Sugar Land, TX
See who Specialty Search Group has hired for this role
Home and clinical infusion services organization is searching for a Clinical Intake Operations Manager.
Key Roles and Responsibilities:
- Conduct initial assessments to determine patient eligibility
- Collect medical histories and personal details of new patients
- Maintain and update records for existing patients
- Review documents for accuracy and completeness
- Prepare paperwork for new patients
- Assist with billing as necessary
- Verify medical benefits as directed
- Ensure cost-effective operations
- Enhance operational systems and practices
- Manage inventory and oversee warehouse efficiency
- Ensure compliance with legal requirements
- Develop strategic and operational goals
- Analyze financial data to improve profitability
- Manage budgets and forecasts
- Perform quality control and monitor KPIs
- Recruit, train, and supervise staff
- Enhance customer service quality
Qualifications:
- Experience with medical benefits verification
- Knowledge of deductibles, out-of-pocket maximums, and coinsurance
- Basic math skills
- Experience with prior authorization (preferred)
- Experience with Pharmacy Benefits Management (PBM) claims (preferred)
- Pharmacy technician experience (preferred)
- Proven experience as an Operations Manager or similar role
- Knowledge of organizational effectiveness and operations management
- Budgeting and forecasting experience
- Familiarity with pharmacy business and financial principles
-
Seniority level
Not Applicable -
Employment type
Full-time -
Job function
Management, Accounting/Auditing, and Administrative -
Industries
Hospitals and Health Care and Insurance and Employee Benefit Funds
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See who you knowFeatured Benefits
Inferred from the description for this job
-
Medical insurance -
Dental insurance -
Vision insurance -
401(k) -
Disability insurance
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