Medical Claims Manager

  • Location
    Phoenix, Arizona
  • Category
    Health Care - General
  • Job reference:
  • Job Type
    Direct Hire

Medical Claims Manager

A Healthcare Client of ours is looking to add a Claims Manager to their team in 2020. Located in the Central Phoenix area, The ideal candidate will have working knowledge of Claims Processing and experience in the Claims department of a clinic.  The client is a well known company that has been around for years and is looking to add a new Manager! This position is moving fast so if you, or someone you know, would be interested in this position, please apply below.

Daily Responsibilities for a Medical Claims Manager:

  • Showcase professional and continuing communication with clinical and non-clinical staff
  • Guarantee that electronic claims files are drawn in each day and uploaded into the claims system
  • Identify process improvements and implement short- and long-term goals for the organization and the department
  • Act as the primary claims contact for reinsurers and third-party claims administrators
  • Evaluate and audit high profile and/or complex claims when needed
  • Adhere to the policies and procedures of the company
  • Knowledge of HCPCs/CPT and ICD-10 codes

Requirements for a Medical Claims Manager:

  • Three to Five years of experience in health insurance claims
  • Two or more years of management experience
  • Familiar with Employee Retirement Income Security Act, Affordable Care Act, Department of Labor, and regulatory compliance requirements
  • Knowledge of claims processing systems
  • Great communication skills both written and oral
  • Be able to maintain HIPAA

Please apply with your CV to:

An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

EEO - EEO Poster Suppl - Affimative Action Policy
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