JOB SUMMARY: Responsible for the daily operations of the Claims Department, which includes but is not limited to, claims processing, payment, preparation and submission of regulatory deliverables, check run support, staff technical training, staff professional development, system configuration design recommendation, product implementation, writing policies and procedures and assisting with the development of departmental reference guidelines. Requires strong communication skills and proven management capabilities.

MINIMUM QUALIFICATIONS:

• Education/Specialized Training/Licensure: Bachelors degree required.
• Work Experience (Years and Area): 7 years in claims billing in health insurance or managed care environment.
• Management Experience (Years and Area): 7 years of direct supervision of staff experience in insurance or healthcare
• Software Operated: Microsoft Office (Word, Excel, Access, Outlook)

SPECIAL REQUIREMENTS: (Check Applicable Areas)

• Communication Skills:
• Above Average Verbal (Heavy Public Contact)
• Writing /Composing: Correspondence / Reports
• Other Skills: Analytical, Medical Terminology, Research, Statistical,
• Advanced Education: Bachelor?s Degree Required
• Work Schedule: Flexible

RESPONSIBLE TO: Vice President

EMPLOYEE SUPERVISED: Professional, Service and Clerical staff