Claims Operations Director

Job Summary

A company is looking for a Director of Claims Operations.

Key Responsibilities

• Provide operational oversight of claims departments, including hiring, training, and performance evaluation
• Maintain and improve claims operations by monitoring system performance and implementing action plans
• Compile and analyze data and metrics to inform leadership and enhance processes

Required Qualifications

• 3-5 years of experience in management of claims operations
• Certified Professional Biller (CPB), Certified Professional Coder (CPC), or similar certification
• Advanced knowledge of claims processing and data analysis
• Proficient in Microsoft applications, including Excel and PowerPoint
• Strong understanding of healthcare regulations and reimbursement processes