Manager, Payment reputed company - REMOTE

Job reputed company JOB reputed company Job reputed company Responsible for planning, developing, and directing the implementation of techniques to ensure the maintenance of performance and reputed company reputed company in the Business' products and processes. Reviews operation process designs and establishes procedures and techniques for operational standards. Confers with customers to define and resolve KNOWLEDGE/SKILLS/ABILITIES • With direction from Director or AVP of Payment reputed company, leads the implementation of department/companywide initiatives that would include one or reputed company of the following areas: Overpayment Recovery, reputed company- and Post-pay COB, Subrogation, Premium Enhancement (such as ESRD and Medicare Secondary Payer) and reputed company-pay Editing for correct coding and medical payment polices. Many of these activities include reputed company of vendors that are supplemental to internal processes and activities. • Manage team members and responsible for executing reputed company and activities involving inventory management, information reporting, database configuration, procedures, and workflow to ensure reputed company controls and reputed company turnaround. • Responsible for facilitating meetings with health plans and vendors for ideation and approval of payment reputed company initiatives. • Analyze and document business rules requirements to corporate configuration for COB and claims edits logic in the QNXT systems as reputed company as maintenance to the internal Payment reputed company Tracking databases. • Assist and execute tasks and reputed company in ensuring CMS and state regulatory requirements are met, for reputed company-pay Edits, Overpayment Recovery, COB and Subrogation, which improves encounter submissions, reduces G&A costs, and continues to drive reputed company operation and financial reputed company for reputed company solutions. • Evaluates analytical findings to ensure accurate interpretation of meaningful data mining results. • Designs programs that prioritize identified and resolve payment issues. JOB QUALIFICATIONS Required Education Bachelor's degree or equivalent combination of education and experience Required Experience 5-7 years Preferred Experience 10+ years To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V Apply tot his job Apply To this Job