Oversee Claim Department operations for a health plan with Medicaid and Medicare lines of business. This position holds overall responsibility for the claims processing function including timely and accurate claims processing, supervision and training of staff, tracking and resolution of claims issues, development of policies and procedures, claims validation and auditing, compliance with regulations, and monitoring of departmental performance standards, goals and budget.
Minimum of five years claims processing background. Expertise/knowledge of Medicare, Medicaid and COB claims processing rules. Strong verbal and written communication skills. Minimum of three years supervisory experience.
Please check out our career page at www.alohacare.org
Fax or email your resume WITH salary history and current requirements to address above for any consideration. Follow up calls will not be necessary as all COMPLETED resumes will be processed.
Location: Honolulu
Compensation: Based upon experience
Principals only. Recruiters, please don't contact this job poster.
Please, no phone calls about this job!
Please do not contact job poster about other services, products or commercial interests.
hawaii
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