AVP - Eligibility & Enrollment

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The AVP - Eligibility is responsible for overseeing the daily operations of their department(s). They set goals, guide Directors/Managers/Supervisors, and are responsible for the financial performance of a

given area. This role is responsible for managing labor resources, expenses, etc. to budget, customer, client and employee satisfaction and retention,

Evaluate and achieve departmental objectives.

* Monitor performance statistics.

* Monitor and report projections and achievements.

* Develop and monitor quality control procedures.

* Continuously evaluate departmental costs and pricing models.

* Review new business referrals, collections, and fee statistics.

* Create and maintain strategic objectives, employee training, and control procedures.

* Continuously work to improve overall productivity efficiencies.

* Must be able to meet and communicate effectively with clients - meeting or exceeding expectations

* Maintain confidentiality of company business at all times.

* Adhere to prescribed polices and procedures as outlined in the Employee Handbook and the Employee Code of Conduct.

* Maintain awareness of and actively participate in the corporate Compliance program.

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Educational/Vocational/Previous Experience Recommendations:

* 7-10 years experience in eligibility and enrollment/revenue cycle

* Minimum 5 years managerial experience in Healthcare industry (preferred eligibility/enrollment/revenue cycle)

* Bachelor's degree preferred

* Ability to effectively work and communicate with staff, all levels of management, outside agencies and clients

* Ability to present oneself in a courteous and professional manner at all times

* Ability to stay on-task with little or no management supervision

* Demonstrate initiative and creativity in fulfilling job responsibilities

* Ability to prioritize and manage multiple tasks in a busy work environment

* Reliability of task completion and follow-up

* Demonstrate leadership qualities

* High level of knowledge in the areas of Medicaid Eligibility, Qualifications and Policy

* Proficiency in Microsoft office including excel, power point, etc.

Working Conditions:

* Office environment with some travel to client sites

We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state, or local law.