You’ll need
Qualifications
✓3 years experience in a leadership role within medical claims related field
✓5 years experience in medical/institutional claims examining within a medical group/IPA setting claim processing experience
✓2 years experience in a medical/institutional claims customer services unit within a health plan medical group or IPA setting
Customer service experience within the Health Care Industry preferred
Access, Teleform and IDX experience preferred
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About the role
Working under the direction of the Manager, Claims, this position has direct responsible for the supervision of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include reporting functions to ensure compliance with AB1455, attention to CMS guidelines and department policy and procedures.