Medical Claims Manager - (Falls Church, VA)

Top five requirements 1 - Expertise to manage multiple priorities simultaneously two - Knowledge of healthcare claims; claim coding, claim requirements three - Analytical abilities; expertise to review reports and make recommendations based upon the data presented four - Understanding of healthcare claim payment methodologies five - Expertise to work in a collaborative fast-paced environment Top five responsibilities 1 - Review claims; identify issues, document corrections and track through to completion two - Management of overpayment recovery activities, monitoring of reports, ensure compliance with allowed turnaround times three - Work with 3rd party vendor to help set priorities, communicate guidance