Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director requires a bachelor's degree. Typically reports to top management. The Claims Processing Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Processing Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)
Conduent
Transaction Processing Associate II
Concord ,
New Hampshire
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Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments creating exceptional outcomes for our clients and the millions of people who count on them.
You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
Job Description : Join the Conduent Provider Enrollment TeamWork On-Site
Career growth opportunities - Provider Enrollment Specialists have ample opportunities to advance to other positions in the company.
Full Benefit Options day oneEmployee discount programFull-Time employees are eligible for Dependent Care benefits that will assist with expenses from day care, after school programs or elder care programs.
Requirements : Have MS Office product experience.Be at least 18 years of age with a high school diploma or an equivalent level of education.
Have prior business environment work experience.Be able to successfully pass a pre-employment background check.About the Role : This is a great opportunity to learn about Medicaid Provider support, medical eligibility, and claims process!Responsibilities include taking new provider applications from receipt to inclusion in NH Medicaid as well as updating existing providers.
This involves accurate and timely entry of provider data, including provider applications and contact information, status changes, revalidations.
It also includes following up with providers as needed to obtain information for the enrollment process.As a Provider Enrollment Specialist, you will be responsible for : Having a courteous and professional telephone mannerFollowing up on missing informationMaintaining information by reviewing, entering, logging documentationMeeting quality controls and production standardsAssisting with other duties as assignedClosing : Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex / gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military / veteran status, citizenship status, basis of genetic information, or any other group protected by law.
People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the "Submit" button at the bottom of the form.
For those using Google Chrome or Mozilla Firefox please download the form first : click here to access or download the form (https : / / downloads.
conduent.com / content / usa / en / file / conduent-applicant-adaaa-referral-form.pdf) . You may also click here to access Conduent’s ADAAA Accommodation Policy (http : / / downloads.
conduent.com / content / usa / en / document / cdt adaaa accommodation pol.pdf) .At Conduent,
we value the health and safety of our associates, their families and our community. Under our current protocols, we do not require vaccination against COVID for most of our US jobs, but may require you to provide your COVID vaccination status, where legally permissible.
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Last updated : 2024-04-05
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