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)
Administrative accountability for leading, managing, supervising and evaluating all aspects of administrative and operational services within Sterile Reprocessing. Assures professional, clinical, and educational excellence in all aspects of Sterile Reprocessing. Provides oversight for the development of safety practices, and enforces regulatory compliance. Assumes responsibility, in conjunction with and in collaborative relationships with the business unit Managers of Sterile Reprocessing. Provides management oversight for the development of sterilization safety standards, quality control of sterilization processes and regulatory compliance. Reports directly to the Vice President and Chief Nursing Officer and has a collaborative relationship with Director, Surgery Services and System Director, Sterile Processing to ensure best practices.
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