Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director requires a bachelor's degree. Typically reports to top management. The Claims Processing Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Processing Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)
Claims Processing Representative
Position located in Dubuque, IA; telecommuting options available
Grand River Medical Group is seeking an experienced Claims Processing Representative to join our Revenue Cycle Team. You will provide a key role in reviewing and analyzing claims rejections, corrections and running financial reports.
The ideal candidate would understand medical terminology, anatomy and physiology, possess strong computer skills, be detail oriented, able to multi-task, work independently or part of a team and be able to communicate effectively.
This is a full-time position, 40 hours per week. This position has a flexible schedule, with the ability to work a hybrid model after introductory period of some work from home and some in office days, with no evening or weekend requirements
Duties include but are not limited to:
Education/Experience/Skills:
We offer: A competitive hourly wage plus a very attractive benefits package including vacation, generous company provided benefits, and much more.
Grand River Medical Group is an independent physician owned practice located in Dubuque, IA. We provide a wide range of healthcare services from primary care to subspecialty care for adults and children. We currently employ over 300 team members who help support the practices and clinical operations of over 65 physicians, nurse practitioners and physician assistant clinics, our urgent care network, and four dialysis units located in Iowa (Manchester and Dubuque) and Wisconsin (Platteville and Richland Center).
Grand River Medical Group is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sex, age, sexual orientation, gender identity or expression, status as a protected veteran, or status as a qualified individual with disability.
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