Job Details

A company is looking for a Subject Matter Expert who will manage and supervise the Claims Team to ensure compliance with regulatory standards and contractual obligations.Key ResponsibilitiesProvide direction, leadership, and mentoring for the claims staffInteract with clients to resolve issues and provide necessary production informationReview and analyze claims processing, including quality and production reportsRequired QualificationsBachelor's degree or equivalent experience is requiredThorough knowledge of medical terminology and claims processing proceduresAt least 1-3 years of healthcare claims processing experienceExperience in supervising staff and conducting performance evaluationsKnowledge of HIPAA regulations and Microsoft Office Suite, especially Excel