ECM Solutions Manager
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Job Description
Ensure compliance with all corporate and departmental standards
Oversee document prep and imaging processes
Prepare department performance reports
Meet with employees on a regular basis to discuss performance and quality
Report on Key Performance Metrics (KPIs) to the General Manager to ensure adequate resources and technology are in place
Develop and implement departmental standards and expectations
Analyze and process a variety of claim document types to ensure the execution of standardized claim protocol and claim handling
Ensure that the department practices meet or exceed the client’s processing standards, procedures and service level agreements
Responsible for interviewing, new employee training and auditing of trainee performance
Identify process improvement opportunities within the claim department and recommend system enhancements;
Must be willing to travel within the US and Abroad as needed
Handles any additional responsibility which may be assigned
Requirements
Education:
High School Diploma or equivalent required
AS / BS Degree Preferred
Experience:
One to Three years’ management experience preferred
Technical Skills / Knowledge:
Understanding of health claims process flows
Ability to perform basic to intermediate mathematical computation routines
Medical terminology strongly preferred
Understanding of ICD-9 & ICD-10
Basic MS office computer skills
Other Skills Required
Ability to work independently or within a team
Time management skills
Written and verbal communication skills
Attention to detail
Must be able to demonstrate sound decision making skills