Healthcare Claims Processing Lead

1 month ago


Long Beach, California, United States Advanced Medical Manage Full time
Job Description

Company Overview

Advanced Medical Manage is a leading healthcare management company seeking an experienced Healthcare Claims Processing Lead to join our team.

Estimated Salary:$80,000 - $110,000 per year

Job Summary

We are looking for a skilled and detail-oriented Healthcare Claims Processing Lead to oversee the claims processing workflow and ensure accurate payment of medical claims. The ideal candidate will have a strong background in healthcare claims processing, with experience in Medi-Cal, Medicare, and Commercial claims.

Responsibilities

  • Oversee the daily claims processing operations, ensuring timely and accurate payment of medical claims
  • Develop and implement process improvements to increase efficiency and reduce errors
  • Collaborate with cross-functional teams to resolve complex claims issues
  • Analyze data to identify trends and areas for improvement
  • Maintain knowledge of regulatory requirements and industry developments
  • Provide training and guidance to claims staff on new processes and procedures

Requirements

  • Minimum of 5 years' experience in healthcare claims processing
  • Strong understanding of claims processing workflow and payment rules
  • Experience with electronic billing processes and universal billing forms
  • Knowledge of CMS pricers and vendor pricing software
  • Ability to work in a fast-paced environment and prioritize multiple tasks

Benefits

  • Competitive salary range
  • Opportunities for professional growth and development
  • Collaborative and dynamic work environment


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