- Location
- Wheeling, WV
- Workplace
- Onsite
- Type
- Full-time
- Department
- Management
- Seniority
- Director
- Experience
- 5+ years
- Education
- Bachelor
- Industry
- Healthcare
- Category
- Healthcare
- Role type
- People Manager
- Environment
- Office
- Source
- ADP
Overview
As Director of Claims, you'll manage all aspects of institutional and professional claims review for medical appropriateness and compliance. You'll lead teams responsible for claims processing, develop and implement claims review procedures, and ensure prompt payment regulations are met. The role requires a Bachelor's degree or equivalent experience, 5+ years of claims leadership experience, and expertise in medical claims payment, ICD-10, NDC, and HCPCS. You'll be responsible for staff management, productivity monitoring, and strategic planning. Strong analytical skills and experience with Excel are essential.
Skills
Microsoft Excel
Languages
English