Healthcare Claims Manager MedSynergies
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Manages and oversees MedSynergies Claims Production, PM system Configuration, EDI, and initiatives for area of responsibility. Responsible for evaluating current and proposed systems and procedures and determining and implementing changes as necessary.
Translates MedSynergies' organizational strategy into specific operational plans for area(s) of responsibility.
Oversees the execution of Claim productions plans for area(s) of responsibility; ensures end results meet agreed upon MedSynergies Standard Operating Procedures (SOP''s).
Designs and executes sound metrics to measure the claim production efficiency of operational area(s) of responsibility. Continuously monitors and utilizes results to make operational improvements as needed.
Leverages subject matter expertise to make recommendations to management on future direction & strategy.
Effectively leads and manages by providing focus and purpose. Works with direct leadership reports to identify talent and design a succession strategy.
Knowledge / Skills / Abilities:
Working closely with Clearing Houses.
Work and understand the payer(s) as it relates to claims submission.
Understand the process of claims processing, statements and reconciliation.
EDI knowledge ( ERA''s, EFT''s and EDI).
Must be an effective leader, successfully communicating with employees at all levels.
Possess a strong work ethic and a high level of professionalism.
A team player who handles multiple projects simultaneously in a fast paced environment.
Bachelor's Degree in Business Administration or related field.
5 + years of related claims production experience.
3 + years experience managing a team. (10+ member team)
NICE TO HAVE:
Healthcare claims production software experince (Groupcast, GE Centricity products, Epic, etc)
Irving, Texas, United States
||1255 Corporate Drive |
Irving, TX 75038
THIS JOB HAS EXPIRED