ROLES AND RESPONSIBILITIES: The Claims Processing Manager will be responsible for preparing all audit documents, and processing claims requiring supervisory override. Meeting monthly department goals, meeting prompt pay deadlines, monthly reporting and other responsibilities as assigned. This position directly reports to the Controller.
Requirements/Qualifications
- 3+ years experience processing and adjudicating Medicaid claims including
- Detailed knowledge of electronic billing processes
- Remittance advice processing
- Timely filing
- Understanding of the billing resubmission process
- Researching rejected claims.
- Manage the Accounts Receivable Process/Reporting related to claims.
- Knowledge of the appeal process to government payers
- Billing and Coding Edits
- Computer proficiency in a Windows environment, knowledge of Microsoft Office products with an emphasis in Excel
- Certified Professional Coder (CBC) and/or Certified Professional Biller (CPB) a plus
Job Type: Full-time
Pay: $55,000.00 - $60,000.00 per year
Benefits:
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Schedule:
Work setting:
Experience:
- Medicaid claims: 3 years (Required)
Ability to Relocate:
- Paramus, NJ 07652: Relocate before starting work (Required)
Work Location: In person