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Claims Manager in Princeton, NJ at Accounting Now

Date Posted: 5/29/2018

Job Snapshot

  • Employee Type:
  • Location:
    Princeton, NJ
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
  • Job ID:

Job Description

Our client in the Princeton, NJ area is looking for a ClaimAssist Manager.
The Manager is an important component of the Operations Department, having
oversight of the ClaimAssist area. The qualified candidate will have responsibility for case management of assistance and auxiliary service requests.

Responsibilities include:

  • Works closely with internal resources and contacts ensuring a high level of shared information, particularly with Operations Coordinators, Accounting, and Business Development
  • Monitors Claims cases and billing, taking necessary and appropriate action when needed to address issues and ensuring proper documentation throughout
  • Processes Claims billing and other paperwork ensuring proper documentation throughout
  • Maintains interaction with key client contacts regarding claims status and management
  • Maintains interaction with key medical facility contacts regarding claims status and management;
  • Sets protocol and policy for the Claim programing conjunction with the VP of Global Operations;
  • Monitors and reviews progress of projects assigned to Operations staff by management while also overseeing an Operations Specialist
  • Issuance of monthly reports to clients detailing claims activity such as account balance, remittance, claims submitted, claims paid, discounting, fees imposed, and other required information as requested
  • Administrative duties including data entry into CMS, uploading of documents to client portal in a timely fashion, phone calls to/from medical providers and clients
  • Monitoring of client escrow balances; reporting of activity to Client Relations and maintaining consistency of document labeling