Oversee daily operations of the claims area, ensuring compliance with internal and regulatory requirements
Manage claims inventory, prioritize work volumes, and identify opportunities for process improvements
Serve as a point of escalation for complex claims and prepare reports and analyses to drive operational excellence
Required Qualifications
Associate degree in a related field or equivalent experience required
2+ years of experience in the health insurance industry, claims processing, or related office services
Previous supervisory or leadership experience with defined outcomes required
Experience with Medicaid, Marketplace, and/or Medicare preferred
Knowledge of ICD-9/10, CDT, and dental terminology preferred
Average salary estimate
$70000
/ YEARLY (est.)
min
max
$60000K
$80000K
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