Reimbursement Operations Manager

6 days ago


Lakeland, Florida, United States WATSON CLINIC Full time
Job Description

We are seeking a highly skilled Reimbursement Coordinator to join our team at WATSON CLINIC. In this role, you will be responsible for the day-to-day supervision of staff, ensuring that all claims are processed accurately and efficiently.

You will work closely with the department manager to provide training and guidance to staff members and exercise good judgment in decision making. This includes addressing employee issues effectively and responding in a professional manner.

Additionally, you will receive and process electronic submission exception reports and verify confirmations on daily transmissions. You will also work to resolve disputes and appeals of third-party denials.

Key Responsibilities:

  • Supervise staff members and ensure that all claims are processed accurately and efficiently.
  • Work closely with the department manager to provide training and guidance to staff members.
  • Exercise good judgment in decision making and address employee issues effectively.
  • Receives and processes electronic submission exception reports and verifies confirmations on daily transmissions.
  • Works to resolve disputes and appeals of third-party denials.

Requirements:

  • High School graduate or equivalent.
  • Certified Professional Coder Certification (CPC).
  • Two to three years' experience in a medical business office or related field.
  • Experience with claims adjudication process for multiple governmental agencies and private insurance carriers.

Estimated Salary Range:$65,000 - $80,000 per year, depending on location and experience.



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