Director of Claims

Insight Global; United States; Remote; USD 100,000 - 134,000; Full time

Job summary

Insight Global is looking for a Claims Director to manage and oversee healthcare claims processing. This remote position requires a Bachelor's degree in Accounting and a minimum of ten years of experience in the field. The successful candidate will supervise staff and manage various claim functions, ensuring compliance with standards while fostering a collaborative team environment. Applicants should possess strong management skills and a deep understanding of healthcare claims processes, including coding and accounting standards. The role offers a competitive salary and benefits, with remote work flexibility and quarterly travel to Denver.

Benefits

Medical insurance

Vision insurance

401(k)

Qualifications

• Minimum of ten years experience in healthcare claims processing.
• Strong knowledge of medical terminology and coding.
• Experience supervising staff.

Responsibilities

• Oversee healthcare claims processing and ensure compliance.
• Manage staff and facilitate training.
• Resolve issues related to refunds and adjustments.

Skills

Researching and resolving errors

Knowledge of co-pays, deductibles, co-insurance

General accounting

Microsoft Office Suite proficiency

Management skills

Education

Bachelor’s degree in Accounting or related field

Tools

Check-writer System

Managed Claim Optimizer (MCO)

Job description

This range is provided by Insight Global. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$100,000.00/yr - $134,000.00/yr

Remote, can sit anywhere in the US - will be required to travel to Denver, CO once a quarter for one week.

Hours: Monday - Friday from 8 AM MST - 5 PM MST

Pay Range: $103-134k (Based on experience, education, certifications). Eligible for 10% salary bonuc.

Requirements:

• Bachelor’s degree in Accounting or a related field from an accredited college/university
• Minimum of ten years of experience in healthcare claims processing; or equivalent combination of education and experience
• Experience with researching and resolving errors that result in refunds and adjustments
• Current experience and strong knowledge of co-pays, deductibles, co-insurance, coordination of benefits, pre-existing conditions, primary and secondary insurance and stop loss
• Current experience and knowledge of general accounting, medical terminology, ICD-9, CPT coding, CMS 1500, UB2004 and other claim forms and system
• Strong familiarity and skill with Microsoft Office Suite, Check-writer System and Managed Claim Optimizer (MCO
• Strong management skills and a minimum of two years of experience supervising staff.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Administrative and Finance

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at Insight Global by 2x

Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

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