Frontline Leader Job Description
Frontline Leader Duties & Responsibilities
To write an effective frontline leader job description, begin by listing detailed duties, responsibilities and expectations. We have included frontline leader job description templates that you can modify and use.
Sample responsibilities for this position include:
Frontline Leader Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Frontline Leader
List any licenses or certifications required by the position: AAPC, CPHQ, AHIMA, DOT, PTCB, CCM
Education for Frontline Leader
Typically a job would require a certain level of education.
Employers hiring for the frontline leader job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Management, Health, Education, Associates, Social Sciences, Human Services, Nursing, Science, Art, Business
Skills for Frontline Leader
Desired skills for frontline leader include:
Desired experience for frontline leader includes:
Frontline Leader Examples
Frontline Leader Job Description
- Prior Authorization Process
- Billing and Collections
- Assist with writing new processes and procedures
- Work with IT regarding Scriptmed issues
- Review any potential write offs and give recommendations
- Review Aging with collection staff
- Help resolve member/patients concerns and provide overall guidance on transactions and inquiries regarding Specialty billing
- Perform complex analyses of various financial data both independently and with a team of associates to assess business progress, identify trends and make projections
- Lead and develop team of Clerical Specialists in supporting case management and utilization management activities
- Requires 25% travel throughout Region 9 (Palm Beach, Martin, St
- Experience in healthcare, including Medicare or Medicaid
- Business experience in quality benchmarking and utilization management
- Strong financial and analytical skills specifically pertaining to core measures
- Experience with provider relations, sales and marketing
- Prior supervisory and training experience
- Previous call center and leadership experience is a must
Frontline Leader Job Description
- Requires 25% travel throughout the Pensacola region, the rest will be work from home
- Requires 25% travel throughout Region 10 (Broward) area
- Requires 25% travel throughout the Daytona Beach region, the rest will be work from home
- Requires 25% travel throughout Region 8 (Collier, Hendry, Lee, Charlotte, Glades, DeSoto and Sarasota counties)
- Requires 25% travel throughout the Region 6 (Hillsborough, Polk, Manatee, Hardee and Highlands counties) , the rest will be work from home
- Requires 25% travel throughout the Region 11 (Miami Dade and Monroe Counties), the rest will be work from home
- Requires 25% travel throughout Region 4 (Volusia, Flagler, St
- Requires 25% travel throughout Region 7 (Seminole, Orange, Osceola and Brevard counties) , the rest will be work from home
- Supervise a Care Coach team with up to 15 associates
- Conceptualizes immediate and long-range needs of the Auto Physical Damage operation with respect to strategic goals and translates these goals into comprehensive projects with defined objectives and outcomes
- Positive – energetic and wants other to succeed
- 2 year degree or enrolled into a college program, preferred but not required
- Understanding of Medicare criteria concerning quality outcomes
- Licensed and PTCB Certified preferred
- Current LMSW, LCSW, or RN license in the state in which the associate is / will be required to practice
- Associate’s or Bachelor’s Degree in Business or Healthcare related field OR a minimum of 3 years supervisory experience
Frontline Leader Job Description
- Work with the Innovation and Technology teams to identify areas of the value stream to introduce automation and innovation to increased efficiency, while improving the customer experience
- Conducts complex research and analysis independently
- Generous opportunities for career growth
- Requires 25% travel, the rest will be work from home
- Create engaging ideas to meet and exceed quality and keep inventory down to a minimum
- Drives retail performance, consistency, execution and optimization through lead of global and cross functional initiatives
- Represents Global Retail Frontline to ensure initiatives are aligned with the retail strategy, agile, commercial and administratively sustainable for retail markets, stakeholders and management
- Continuously evaluates KPIs and retail processes to identify operational opportunities, support or procedural change to improve results and generate efficiencies in consultation with retail markets, stakeholders, management and team
- Proactively initiates and presents operational recommendations to management that are retail considerate, commercially and administratively sustainable for retail
- Innovative and solution oriented initiatives / tools to optimize global retail processes that drive retail commerciality, improvement and consistency in consultation with retail markets, stakeholders, management and team
- Experience in benefit investigations or reimbursement with 3rd party, Manufactures and Patients
- Previous experience with resolving escalated issues
- Demonstrate emotional intelligence and confidentiality
- Strong planning, preparation and presenting skills
- Ability to travel with a valid driver’s license and/or dependable transportation necessary
- Certified Coding Certification with AAPC
Frontline Leader Job Description
- Continuous proactive learning in order to further develop expertise
- Ensures new processes and tools are understood, accepted and correctly implemented by local retail markets
- Coordinates clear communication of all key projects, business initiatives and highlight core messages of new retail project and tools to all relevant retail markets, stakeholders and management in a timely manner
- Provide and ensure ongoing education and training
- Responsible for team performance, including metrics, auditing and outcomes
- Allocate claims within team, ensuring they are reviewed and recorded on CARAT within product standards, with correct policy coverage and appropriate cause and reserves
- Supervision of team members to ensure Service Level Agreements are complied with
- Timely completion of appraisal process
- Approve claims settlements within financial authority
- Ensure team has knowledge of Service Instructions and Policy Wordings
- Certified Coding Certification with AAPC or AHIMA
- Comprehensive knowledge of Medicare Risk Adjustment
- Experience with exposure with clients internal and external
- Minimum of 2 years previous lead experience
- Must be able to work Monday through Friday 8-5 but be flexible with your hours based on business needs and hours could include weekends
- CCIS and MTV experience highly preferred
Frontline Leader Job Description
- Respond promptly to complaints
- Manage own solicitors in litigated cases to ensure litigation standards are met
- Assist Operations Manager in general office administration to ensure smooth running of office
- Demonstrated ability to meet deadlines and production goals
- Ability to travel throughout the local market approximately 2-3 days weekly
- Flexibility to occasionally travel overnight for training and meetings
- Ability to work complex projects, implementations and meet tight deadlines
- 2 year degree or enrolled in a college program
- Knowledge on Medical terminology (CPT-4, ICD-9, ICD-10)
- PTCB Certified preferred
- Demonstrated good research skills
- Highly engaged and the ability to positively engage and motivate others