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Director Government Services - Medical Claims

Details
Posted By:
Naomi Taylor
Posting ID:
4110n2741
Location:
Cincinnati Oh
Telephone:
Tags:
Category:Medical / Health
Listing Type:Job
Employment:Full Time
Company:Company Confidential

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This position is primarily responsible for leadership and management of the
daily workflow of the Government Services Division.


.Interview, hire, train, audit and review team members
.Lead, supervise, motivate and monitor team members to ensure compliance
with policies, procedures and standards
.Support and assist team members with difficult issues concerning work and
offer suggestions to assist in the process of underpayment reviews and
collections
.Ensure team successfully achieves quality, productivity and collection
goals
.Build strong, lasting relationships with clients, carriers and personnel
.Attend client, department and company meetings
.Investigate various issues with Medicare and Medicaid carriers and
contracts; respond to questions and resolve problems
.Perform duties and responsibilities of Claims Analysts as needed
.Comply with federal and state laws, company policies and procedures

Job Requirements :

.Minimum 5-years management experience in an operational setting, preferably
in managed care, insurance company or patient accounts
.High school diploma or equivalent
.Moderate computer proficiency including experience with Microsoft Windows,
Word and Excel
.Advanced proficiency in conducting Internet searches and Internet
navigation through use of Internet Explorer
.Analytical and problem solving skills
.Ability to calculate rates using addition, subtraction, multiplication and
division
.Ability to read and interpret extensive variety of documents such as
contracts, claims, instructions, policies and procedures in written (in
English) and diagram form
.Ability to define problems, collect data, establish facts and draw valid
conclusions
.Ability to work on own with minimal supervision and use effective time
management skills to complete tasks on time
.Ability to travel by automobile or public transportation to visit worksites
.Excellent leadership, interpersonal and communication skills, strong team
player and commitment to company values
.Knowledge of Medicare and Medicaid claims submittal process and procedures
and medical forms (including UB04 and CMS1500) a plus

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