Medicare Claims Manager

Job Summary

A company is looking for a Claims Manager who oversees the processing, evaluation, and resolution of Medicare insurance claims.

Key Responsibilities

• Ensure timely and accurate processing of Medicare claims
• Monitor adherence to healthcare regulations and policies
• Manage relationships with vendors and supervise claims processing staff

Qualifications

• Bachelor's degree in healthcare administration, business, or related field or equivalent experience
• Extensive knowledge of Qnxt Claims Administration system
• Minimum 8 years of experience in Medicare claims processing
• Strong knowledge of medical terminology and billing codes (ICD, CPT, HCPCS)
• Familiarity with insurance policies and healthcare regulations