Remote Claims Manager - Healthcare Industry

About the Role

We are seeking a dedicated and experienced Remote Claims Manager to join our dynamic team. In this role, you will oversee the claims management process, ensuring compliance with healthcare regulations and improving operational efficiency. As a Remote Claims Manager, you will play a crucial role in transforming the way healthcare is financed and delivered.

What You'll Do

• Manage the end-to-end claims process, ensuring timely and accurate claims submissions.
• Collaborate with internal and external stakeholders to enhance claims processing efficiency.
• Lead continuous improvement initiatives to streamline operations and reduce claim denials.
• Supervise a team of claims analysts, providing guidance and support to achieve departmental goals.
• Ensure compliance with ERISA and HIPAA regulations in all claims management activities.

Requirements

• 3+ years of experience in claims management, preferably in the healthcare sector.
• Strong analytical skills and proficiency in data analysis and coding structures.
• Experience with VBA software claims systems and medical claims analysis.
• Excellent leadership and team management abilities.
• Knowledge of CPT coding and liability determinations.

Nice to Have

• Experience in commercial trucking claims management.
• Familiarity with customer experience enhancement strategies.
• Previous involvement in process improvement initiatives.

What We Offer

• A supportive, innovative, and collaborative work culture.
• Opportunities for professional development and training.
• Engagement in continuous improvement initiatives.
• Flexible remote work arrangements to promote work-life balance.
• Competitive salary and benefits package.