Job Description
Experience & Specifications:
Bachelor's degree in business administration or related discipline is necessary; master's degree preferred
Experience: 5+ years in a supervisory or management relating to claims management and oversight
Must have a thorough understanding of insurance-related legal procedures, regulations, and claims processing
Strong proficiency in Microsoft Office computer programs including Excel, Word, and other programs is necessary
Knowledge and Skills:
· Excellent organizational skills
· Medical terminology, coding nonmenclature such as CPT, HCPCS, CDT, ICD10
· Medicare rules and regulations and US health insurance industry standards
Job Summary:
Reports directly to the Sr. Health Plan Finance Manager and responsible for providing leadership and management oversight to the Claims team in Guam and Philippines assuring the attainment of service and operational excellence; process efficien...
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