Claims Processing Supervisor
Job Description: Affiliated Computer Services, Inc. (ACS) is expertise in action™. We are a FORTUNE 500 company with 74,000 employees worldwide supporting client operations reaching more than 100 countries. We provide business process outsourcing and information technology solutions to world-class commercial and government clients. Our employees operate with integrity, and are flexible, reliable and responsive.
If you meet the requirements of this position and want to work for a world-class company with a great marketplace reputation, apply today.
MAJOR POSITION RESPONSIBILITIES:
Claims Processing Supervisor
Essential Job Duties and Responsibilities:
Supervisor of the claims processing department and manages the daily functions while maintaining performance standards, professionalism, and team leadership. Is a direct reporter to the State of Alaska our client and represents the ACS Company.
Extensive interface with Alaska Medicaid providers and various State agencies as to Alaska Medicaid Policy and interpreter of the provider manual guidelines.
Experience in billing of medical claims and claims resolution.
Provide claims resolution support to the Pends team along with Appeals.
Researches, reviews, and responds to all system alerts from all State agencies.
Coordinates with staff on updates with the edit audit manual and trains staff accordingly.
Manages staff by company policy and works with management team to improve process procedures, work flow, and special projects.
Respond to all claims inquires to all internal departments at ACS.
REQUIRED (minimum):
Strong claims, communication, and management skills
Experience in building/maintaining customer relationships
Bachelors degree or related work experience
5 years experience in medical operations
Excellent oral and written communication skills
PREFERRED:
Experience managing Medicaid claims operation
Detailed understanding of Medicaid policies and procedures at both Federal and state levels
Demonstrated proficiency in adapting/tailoring best practices/processes to business needs
ACS is an Equal Opportunity Employer and does not Discriminate against any applicant on the basis of race, color, religion/creed, national origin, gender, or sex, marital status, age, disability, use of a guide dog or service animal, sexual orientation, military/veteran status, or any other status protected by Federal or State law or local ordinance. People with disabilities who need a reasonable accommodation to apply or compete for employment with ACS may request such accommodations by calling or by sending an e-mail to accommodations@acs-.
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