Claims Manager in Chandler, Arizona

LHH is seeking an experienced Claims Manager in Chandler, AZ. Your contribution will help the medical office in sending out claims and provide detailed client account records. If you are looking to propel your career forward with a caring company who exemplifies a great workplace culture, apply today!

Responsibilities:

Responsible to adjudicate more complex claims, requiring additional research or problem solving.

Collaborate with department managers to overcome challenges and present ideas for process improvement across the organization.

Responsible for the reconciliation of encounter error reports and implementing change to prevent outbound claim encounter rejects.

Execute check run process including review of claims for accuracy, payment posting and assuring checks are mailed timely. Complete timely void and reissue of stale dated and returned checks.

Provides hands on leadership, training, mentoring, and work product management to a team of direct

Ability to formulate, manage, and measure short and long term specific, clear goals to meet key performance indicators and company revenue targets.

Provides data driven deliverables and goals to leadership.

Identifies, recommends, and implements opportunities for improved billing outcomes.

Qualifications:

College degree required

Minimum 6 years health care claims management experience preferably with Medicare

Advantage and/or project management experience in systems implementation

Knowledge of Medicare rules, medical terminology, managed care health plan rules and

regulations, ICD-9, CPT and RVS codes.

Superior MSOffice skills specifically Excel and Visio. 60+ WPM Touch, 10-key

Superior communications skills.

SQL Query and Crystal Reports creation preferred

If you feel you are the right fit as a Claims Manager and you don't want to miss out, please email Rebecca.Luffman@lhh.com or apply on our website at lhh.com ASAP!

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/candidate-privacy

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records