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)
OVERALL RESPONSIBILITIES:
MINIMUM QUALIFICATIONS:
Must be detail and goal oriented, organized, possess strong written and verbal communication skills, strong interpersonal skills, display time management skills and the ability to juggle and prioritize workload, and work well with others. Computer skills required. Background in healthcare-related industry and knowledge of medical third party billing preferred. Knowledge of Microsoft Word and Excel helpful.
CONTINUING EDUCATION:
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