Claims Resolution Manager
Job Summary
A company is looking for a Claims Resolution Manager to oversee health plan claims processing functions.
Key Responsibilities
- Lead the claims resolution team in managing the entire claims lifecycle
- Monitor and report on claim trends, implementing corrective actions as needed
- Train and mentor the claims resolution team, fostering continuous improvement
Required Qualifications
- Bachelor's degree in healthcare administration, business, or related field (or equivalent experience)
- 8+ years of experience in medical claims management, preferably in outpatient billing
- 5+ years of management experience in a fast-paced environment
- Deep understanding of healthcare billing processes, including ICD-10 and CPT coding
- Experience with mental health billing platforms and clearinghouses
Complete Job Description
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