This site uses cookies. To find out more, see our Cookies Policy

Reconsiderations/Appeals Manager in Tampa, FL at Vaco

Date Posted: 5/21/2019

Job Snapshot

Job Description

Vaco is currently seeking a Reconsiderations Manager for a client located in Tampa, FL.

The Reconsideration Manager is responsible for day-to-day management of the Reconsiderations Team, coordinating responses for state-level provider disputes when applicable, workers compensation regulation and state fee schedule research, and providing billing support.

This position manages all employees of the department and is responsible for the performance management and hiring of the employees within that department.

Position Overview and Preferred Experience:

  • Extensive knowledge in workers compensation and Medicare medical billing, terminology & surgical implants. Preferably, Physician Practice billing expertise
  • Experience in managing with a small team
  • Experience in appeals and reconsiderations processing

Critical Functions:

  • Provide day-to-day management of reconsideration staff, ensuring departmental processes are followed, timely communication occurs with providers and clients, and client requirements are met.
  • Acts as a liaison between external counsel, coordinates written responses and provides supporting evidence regarding state-level provider disputes.
  • Assists in researching and documenting workers compensation and state fee schedule regulations.
  • Writes and administers performance reviews for skill improvement.
  • Is available for employees who experience work and/or personal problems providing appropriate coaching, counseling, direction and resolution.
  • Creates and maintains a high-quality work environment so team members are motivated to perform at their highest level.
  • Works closely with the Senior Director of Compliance to assist in establishing departmental procedures and processes that support the company and departmental standards and strategic directives.