Also referred to as: Medical Claims Operations Director
Requirements and Responsibilities

Claims Processing Director - Healthcare plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director - Healthcare develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director - Healthcare requires a bachelor's degree. Typically reports to top management. The Claims Processing Director - Healthcare manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Processing Director - Healthcare typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function.

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