Job Title: Medical Claims Processing Program Manager
Posted by: Cognosante on Nov 18, 2019
Location:
Austin , TXJob Description:
Required Qualifications
Bachelor's DegreeAt least 5 years of experience supervising personnel on processing medical claims and vouchers using numerous database applications in accordance with medical claims coding regulations and guidelinesShall have demonstrated success leading a large team focused on meeting organizational goals, continuous improvement and implementing human capital management strategiesPossess in-depth subject matter knowledge and judgement to direct the performance of the personnelShall have proven capability and experience to supervise a team of the size needed to perform the scope and accuracy of work and to attain the required performance metrics in the PWSShall have an in depth understanding of billing and follow up regulations as it relates to MedicareShall have an in depth understanding of electronic claims editing and submission capabilities including Medicare and NEIC on-line claims processing and query systemShall have a thorough understanding of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) and International Classification of Diseases, Tenth Revision Clinical Modification (ICD-10-CM) standards (or latest version)Shall have knowledge and expertise in the use of Microsoft Office Products such as Word, Excel, and Project
Candidates that do not meet the required qualifications will not be considered.
Pay Rate:
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About Cognosante
Cognosante is a leading provider of health IT technology solutions, business process outsourcing services, and consulting. We provide our clients with meaningful insights, increased performance, and greater integration across programs, systems, and populations. With deep expertise in areas including health insurance marketplaces, health data standards, and Medicaid enterprise systems, we apply an innovative, integrated approach to navigating the challenges of healthcare reform. Our experts solve the most complex problems with creativity, flexibility, and efficiency. Our success is driven by our obsession with positive results: we simply do not let problems stand in our way. As a result, our relationships with clients and partners endure.