Sr. Manager of Claims Operations - Remote

Overview

The Sr. Manager of Claims Operations is responsible for overseeing billing and claims management operations, ensuring efficiency and accuracy in processes.

In Short

• Oversee the entire billing cycle and claims processing.
• Build relationships with insurance payors for timely payments.
• Manage complex claim denials and ensure accountability within the team.
• Ensure compliance with documentation and financial records.
• Recruit and train team members in billing and coding.
• Collaborate with departments for billing report reconciliation.
• Identify opportunities for process improvement.
• Participate in community meetings and marketing activities.

Requirements

• High school diploma/GED required; Bachelor's preferred.
• 4+ years of experience in healthcare billing and claims.
• 2+ years of team leadership experience.
• Experience with complex claims adjudication.
• Strong public relations and communication skills.
• Ability to manage stress and deadlines effectively.

Benefits

• Competitive compensation and bonus incentives.
• 401k program with company match.
• Unlimited PTO for work/life balance.
• Comprehensive medical, dental, and vision insurance.
• Employee Assistance Program for wellness support.
• Collaborative and supportive work environment.