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)
JOB TITLE: MEDICAL CLAIMS BILLER
REPORTS TO: BILLING OFFICE LEAD/BILLING OFFICE DIRECTOR
Rate of pay/Salary : 33,280.00 annual salary/ DOE
BASIC FUNCTION: Performs a variety of functions within the billing process that includes statements, correspondence, refunds, denials, rebills, collections & customer service. Prepares medical claims for electronic & paper submission to patients, insurance companies, Medicare, Medi-Cal and other financially responsible payors. Facilitates a fluid process of billing claims in a timely & successful manner.
RESPONSIBILITIES:
QUALIFICATIONS:
PHYSICAL REQUIREMENTS:
Requires routine walking, standing, bending, reaching, squatting, lifting and carrying items weighing less than 40 pounds. Requires working at computer workstation for extended periods.
JOB RESPONSIBILITIES RELATED TO PATIENT PRIVACY
PROTECTED HEALTH INFORAMTION ROLE BASED ACCESS
Access to PHI will be limited to those who need access to PHI to carry out their duties. The following describes the specific categories or types of PHI specific to this job description:
Clear All
0 Claims Processing Director jobs found in Modesto, CA area