Imagenet LLC
Tampa, Carrollwood, FL 33618, USA
Apr 09, 2024
Full time
Imagenet LLC is a premier healthcare technology company that has taken medical claims processing and document management to new levels of service, security and efficiency. Our core business is helping our clients reduce costs and increase productivity by providing efficient document imaging, data validation, adjudication and on demand retrieval of documents and data.
JOB OVERVIEW
We are seeking an experienced Healthcare Claims Director to oversee our claims processing operations and drive data-driven process improvements. This leadership role will manage a team of claims managers and analysts, ensure compliance, and leverage data analytics to enhance claims performance.
RESPONSIBILITIES
Provide strategic direction and operational oversight for healthcare claims processing across multiple lines of business
Manage a team of claims managers, analysts and supporting staff across multiple locations
Develop and implement policies, procedures and workflows for efficient claims adjudication
Monitor performance metrics and identify opportunities for process optimization
Leverage data analytics tools to analyze claims data, identify trends and generate actionable insights
Develop reporting dashboards and visualizations to share key metrics with leadership
Ensure adherence to regulatory compliance, coding guidelines and revenue cycle best practices
Collaborate with IT, clinical, and business teams on systems improvements and integrations
Manage relationships and resolve escalated issues with healthcare providers and payers
Mentor, coach and provide professional development for team members
Technical Skills/Knowledge
Bachelor's degree in healthcare administration, business or related field
7+ years of management experience in healthcare claims processing
Deep understanding of claims operations, revenue cycle management and compliance
Strong data analytics skills and experience using tools like Tableau, SQL, PowerBI
Proven ability to analyze data, synthesize insights and drive process improvements
Excellent communication, presentation and leadership abilities
Motivated team player with a customer-focused mindset
Job Type: Full-time
Experience:
claims or claims processing, managing: 7+ years (Required)
Work authorization:
United States (Required)
Job Type: Full-time
Pay $90,000-$100,000 per year
Benefits:
We offer a competitive compensation and benefits package commensurate with experience as well as PTO. This is an office-based position
Schedule:
8 hour shift
Day shift
Monday to Friday
Ability to commute/relocate:
Tampa, FL 33618: Reliably commute or planning to relocate before starting work (Required)
Experience:
7+ years of management experience in healthcare claims processing
Deep understanding of claims operations, revenue cycle management and compliance
Strong data analytics skills and experience using tools like Tableau, SQL, PowerBI
Work Location: In person