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Deputy Manager - Data Quality and Claims Processing

Medusind Solutions

Medusind Solutions

Data Science, Quality Assurance
Newark, DE, USA
Posted on Wednesday, July 12, 2023
Location: Newark, DE
Experience: 2+ years of healthcare billing experience, preferred.
Educational Qualifications: Bachelor’s Degree preferred & Certified Medical Coder preferred
Job Description:

The Medusind Delaware office is seeking a motivated, talented individual to fill the role of Deputy Manager – Data Quality and Claims Processing. This person will have a sense of urgency, a desire to get things done accurately, and the ability to problem-solve and think outside of the box.

The ideal candidate will work well with minimal supervision. He/she would be someone who looks to go above and beyond and create systems and processes that drive efficiencies. The right candidate would be assertive, proactive, organized, detailed, confident, goal-driven, and results-oriented. We are looking for someone who is motivated to support the team and help move the team forward.

  • Health insurance
  • Dental insurance
  • Vision insurance
  • Employer paid life insurance
  • Employer paid short-term and long-term disability
  • Voluntary additional life insurance
  • Voluntary supplemental insurance
  • Employee Assistance Program
  • 48 hours of sick time after three months
  • 80 hours of vacation time after six month
Essential Functions:
  • Manage staff and work processes to maintain expected accuracy and turn-around time
  • Participates as a processing team member, as needed, to meet business goals
  • Oversee performance of offshore team
  • Conducts and/or participates in staff training for U.S. and offshore staff.
  • Serves as a system expert for Medusind proprietary and partner applications as they relate to Data Quality and Claims Processing
  • Analyzes the business to determine and recommend solutions and operational efficiencies
  • Works closely with Operations for system development to ensure proper scope and implementation
  • Provides support and oversight for successful implementation of new business
  • Prepare and maintain technical documentation for purposes related to Front End claim processes
  • Handles special projects
  • Prepares technical, informative or reports as required
  • Attends meetings with clients and client partners, as required
  • Other duties as assigned
  • Two (2) years of healthcare billing experience, preferred
  • Project management skills
  • Detail oriented and highly organized
  • Ability to effectively prioritize and multi-task under deadlines
  • Must be a self-starter and able to work independently
  • Experience in billing processes and systems
  • Ability to create a relationship and rapport with clients and partners, both internal and external
  • Analytical, research, and problem-solving skills
  • Good writing skills and verbal communication skills
  • Demonstrated ability to work effectively with and support the needs of project team members
  • Strong experience with MS Office suite of products (Word, Excel, PowerPoint)
  • Understands compliance and regulatory requirements with claims processing
  • Adobe Acrobat experience
  • Medical Coding experience, preferred
  • Management experience, preferred
  • Medusind Inc experience, preferred