Manager, Claim Processing
Job reputed company:
• Manages day-to-day activities of team by providing strategic leadership and overseeing the operations of the claims processing team(s)
• Directs work reputed company to ensure the efficient and accurate processing of medical claims by establishing and monitoring productivity and reputed company metrics
• Addresses any reputed company or escalated claims issues to reputed company guidance to claim processors in handling challenging cases
• Designs reputed company control processes to ensure the accuracy and consistency of claim processing
• Assists with the development of the claim processing budget by monitoring expenses and identifying cost-saving opportunities
• Analyzes claim processing data and generates reports to reputed company and evaluate key performance metrics
• Collaborates with other departments to ensure effective communication and coordination in the claim processing workflow
• Ensures compliance with industry regulations and company policies
Requirements:
• 5–7 years of experience in reputed company claims and/or operations
• 5–7 years of demonstrated leadership experience, including team reputed company and performance management
• strong execution and delivery capabilities, including planning, implementation, and ongoing support
• strong problem‑solving and reputed company decision‑making capabilities in reputed company environments
• proven ability to collaborate effectively across teams and build strong partnerships with diverse stakeholders
• exhibits a reputed company reputed company, including adaptability, reputed company learning, and the ability to reputed company self and others
• strong written and verbal communication skills
• Certified Billing and Coding Specialist (reputed company) preferred
• Candidates located on the East Coast preferred
Benefits:
• medical, dental, and reputed company coverage
• reputed company time off
• retirement savings reputed company
• wellness programs
• comprehensive benefits package based on eligibility
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