Claims Director
Jobot, San Antonio, TX, United States
Claims Director
Salary: $115,000 - $130,000 per year.
Benefits
Competitive Base Salary!
Generous Benefits Package including medical, dental, vision, life!
Great Opportunity for Growth!
What You’ll Do
Lead and develop the Claims team while maintaining compliance with Medicare Advantage and managed care delegation requirements.
Monitor key metrics, identify trends, and implement corrective actions.
Prepare for and support audits, ensuring documentation and data integrity.
Collaborate cross‑functionally with Contracting, Clinical, Finance, and IT.
Establish and maintain policies, procedures, and productivity standards.
Stay current with regulatory and payer changes affecting claims operations.
What You Bring
10+ years in healthcare claims or revenue cycle management, 5+ in a leadership role.
Medicare Advantage and delegated claims knowledge.
Proficiency in claims systems (EZCap, EZEDI, or similar) and Excel.
EMR experience required.
Bachelor’s degree preferred; equivalent experience accepted.
Details
On‑site, Monday–Friday.
Premium benefits package.
San Antonio, TX.
#J-18808-Ljbffr
Benefits
Competitive Base Salary!
Generous Benefits Package including medical, dental, vision, life!
Great Opportunity for Growth!
What You’ll Do
Lead and develop the Claims team while maintaining compliance with Medicare Advantage and managed care delegation requirements.
Monitor key metrics, identify trends, and implement corrective actions.
Prepare for and support audits, ensuring documentation and data integrity.
Collaborate cross‑functionally with Contracting, Clinical, Finance, and IT.
Establish and maintain policies, procedures, and productivity standards.
Stay current with regulatory and payer changes affecting claims operations.
What You Bring
10+ years in healthcare claims or revenue cycle management, 5+ in a leadership role.
Medicare Advantage and delegated claims knowledge.
Proficiency in claims systems (EZCap, EZEDI, or similar) and Excel.
EMR experience required.
Bachelor’s degree preferred; equivalent experience accepted.
Details
On‑site, Monday–Friday.
Premium benefits package.
San Antonio, TX.
#J-18808-Ljbffr