Job Description:

Job Description:

As a Claims Manager with a medical background, you will be responsible for overseeing the processing and management of medical insurance claims. You will work closely with medical professionals, insurance companies, and patients to ensure accurate and timely processing of claims.

Responsibilities:

• Review and analyze medical insurance claims for accuracy and completeness
• Work with healthcare providers to obtain necessary documentation for claims processing
• Communicate with insurance companies to resolve claim discrepancies
• Ensure compliance with state and federal regulations regarding medical claims
• Train and supervise claims processing staff

Skill Sets:

• Strong understanding of medical terminology and procedures
• Excellent communication and interpersonal skills
• Attention to detail and ability to spot errors in claims data
• Experience working with medical billing software
• Knowledge of insurance industry regulations and policies

Industry:

HealthCare

Category:

Health

Skills: