To supervise, monitor and evaluate the needs and objectives of claims department in in the area of production in order to ascertain that company directives and goals are being met. Ensures the claims process from claims creation, adjudication to claims EOP flows successfully.
· Bachelor’s degree or 8 years equivalent work experience in a managerial role.
· Minimum 10 years experience in a medical office claims environment with increasing levels of responsibility.
· Demonstrated knowledge of ICD-9, ICD-10, CPT-4 and HCPCS coding.
· Demonstrated knowledge of Medicare, Medicaid and Commercial lines of business claims adjudication rules.