• Imagenet LLC
  • Tampa, FL, United States
  • Mar 01, 2019
Full time Management

Job Description

 Ensure compliance will all corporate and departmental standards
 Meet with employees on a regular basis to discuss performance and quality
 Report on Key Performance Metrics (KPIs) to ensure adequate resources
and technology are in place
 Develop and implement departmental standards and expectations

 Oversee the claims adjudication process to assure that the examiners are
following all CMS rules and regulations in conjunction with the insurance
company guidelines
 Ensure that the department practices meet or exceed the client’s
processing standards, procedures and service level agreements
 Identify process improvement opportunities within the department and
recommend system enhancements
 Handle any additional responsibility which may be assigned
 High School Diploma or equivalent required
 AS / BS Degree Preferred
 Three to Five years of management experience
 Preferred: one to three years working in claims, claims processing, or with
medical terminology
Technical Skills/Knowledge
 Basic to intermediate math
 Basic MS office computer skills
 Medical terminology and/or understanding of ICD-9 & ICD-10 preferred
 Ability to work independently or within a team
 Time management skills
 Written and verbal communication skills
 Attention to detail
 Must be able to demonstrate sound decision-making skills