Healthcare Claims Operations Manager
Gainwell Technologies
full-time
Posted on:
Location Type: Office
Location: Jackson • Mississippi • 🇺🇸 United States
Visit company websiteSalary
💰 $85,200 - $121,700 per year
Job Level
Mid-LevelSenior
About the role
- Responsible for mailroom, data capture, scanning, adjustments, resolution, clinical, and change orders related to State Medicaid Programs.
- Lead daily activities of supervisors in the acceptance, control, and processing of all functions in areas of responsibility.
- Work with other managers for the rest of the organization in support of the Medicaid contract.
- Ability to effectively present information and respond to questions for groups of managers, customers, providers, investigative agencies, and the general public.
- Evaluate the performance of subordinates as well as assisting direct reports in the evaluation of their subordinates.
Requirements
- Bachelor’s degree (BA or BS) required; RN degree is preferred, but not necessary.
- Excellent project management and planning skills with the ability to communicate in writing as well as speak in front of groups required.
- Medicaid and customer service experience in a health care environment required.
- Five (5) or more years of medical claims leadership preferred.
- Strong skills in use of technology, mailroom processes (document/data processing), medical claims, and clinical functional areas.
Benefits
- Health (medical, dental, vision) benefits start on day 1 of employment.
- Company match 401K and other benefits available within months of starting.
- Flexible vacation policy after ninety (90) calendar days of employment.
- Company provided computer for work use.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data capturescanningproject managementmailroom processesmedical claimsclinical functions
Soft skills
communicationpresentation skillsleadershipevaluation skillsplanning
Certifications
Bachelor's degreeRN degree