Senior Insurance and Claims Manager - Remote
Surgery Partners · Nashville, Tennessee, US
RESPONSIBILITIES : - Maintains accurate and current files and databases - Manages RMIS (RisKonnect) and is subject matter expert - Serves as liaison between...
Job description
RESPONSIBILITIES: - Maintains accurate and current files and databases - Manages RMIS (RisKonnect) and is subject matter expert - Serves as liaison between OH BWC and SP - Maintains SharePoint site - Subject matter expert for patient compensation funds - Participates in reconciling audits performed by insurance carriers and is familiar with large retention insurance programs across multiple lines of coverage - Functions as an insurance liaison, advisor and resource person for department administrators, and other personnel. - Oversee the processing of insurance claims, ensuring that all claims are handled efficiently, accurately, and in compliance with applicable laws and regulations. - Proactively manages claims from start to finish, identifying any potential issues or delays, financial implications, and ensuring timely resolution - Identifies area for process improvement and risk mitigation EDUCATION/REQUIREMENTS: Benefits: ENVIRONMENTAL/WORKING CONDITIONS : Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities...