What are the responsibilities and job description for the Medical Billing & Claims Manager (DHPI98) position at Health Connect South?
The position involves managing and leading medical, pharmacy, and dental billing for various services, ensuring timely submission of claims to maximize reimbursement and minimize denials. Preference in hiring is given to enrolled members of specific tribes, with additional preferences for spouses and other federally-recognized tribes.
- Qualifications include an associate degree, three years of supervisory experience, and five years in medical billing.
- Knowledge of coding, billing procedures, and third-party payer regulations is essential.
- Certification as a Revenue Cycle Representative is required within one year of hire.
- Strong interpersonal, organizational, and customer service skills are necessary.
- Physical and mental demands include prolonged sitting, decision-making under pressure, and handling multiple priorities.
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