Lead Core Operations

Job Summary

To enhance operational efficiency, the full-time Lead Core Operations will monitor claims workflow, coordinate staff activities, and implement quality improvement processes in a healthcare environment.

Key responsibilities

• Monitor and control backlog and workflow of claims while coordinating day-to-day activities with supervisors and managers
• Lead quality improvement initiatives to enhance claims processes and provide training as a subject matter expert
• Review and update other insurance records in the claims transactional system and COB tracking database

Required qualifications

• Associate's degree or equivalent experience
• 3 years of experience in billing, claims review, or processing
• 3 years of experience in the managed care or healthcare industry