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)
Description
1 In compliance with Standard Operating Procedures (SOPs), responsible for collecting plasma samples and moving plasma units to freezer to ensure product quality.
2 Ensures plasma units are properly stored according to SOPs, which could include unsuitable plasma units and samples.
3 Ensures accuracy of unit labeling by verifying the pre-printed label matches the dynamic label.
4 Utilizes sterile technique to draw samples and uses heat sealer to assure the sterility and quality of plasma unit samples per SOPs.
5 May ensure samples and units are packed and shipped in accordance with SOPs and center procedures. Prepares shipping and unit disposal documentation.
6 Monitors freezer and refrigerator temperatures and immediately informs appropriate personnel if equipment is not functioning properly. Records variances.
7 Conducts daily calibration of equipment according to SOPs.
8 Ensures the accurate recording of donor data in the electronic donor information management system as outlined in the SOPs.
9 Understands the policies and procedures associated with hyper immune programs at the center if applicable.
10 Maintains clean efficient work environment, and ensures sufficient operating supplies and forms are available as needed.
Follows all Health Safety & Environmental (HSE) and Occupational Safety and Health Administration (OSHA) policies and procedures.
Promotes safety in all actions.
11 Maintains confidentiality of all personnel, donor and center information.
12 May be cross-trained in other areas to meet the needs of the business.
13 Bilingual skills may be required, at the discretion of the organization, to meet the needs of the business.
14 Perform other job-related duties as assigned.
Education
High school diploma or equivalent required
Experience
Working Conditions
physical & mental requirements)
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, disability, veteran status, national origin or other legally protected classifications.
Last updated : 2024-04-23
Clear All
0 Claims Processing Director jobs found in Morgantown, WV area