Director Claims Customer Service - A/B MAC Jurisdiction M

Palmetto GBA•Columbia, SC

1d•Onsite

About The Position

Provides direction and guidance to customer service, claims processing, and/or appeals staff for multiple operational areas. This position is onsite full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located at 17 Technology Circle Columbia, SC 29203

Requirements

Bachelor's Degree
7 years of healthcare program or customer service experience to include budget management experience including 3 years of management/supervisory experience OR 3 years of equivalent military experience in grade E4 or above (may be concurrent).
Strong organizational, analytical, presentation, and customer service skills.
Strong oral and written communication skills.
Ability to persuade, negotiate or influence.
Ability to handle confidential or sensitive information with discretion.
Proficient spelling, punctuation, grammar, and basic business math.
Microsoft Office.

Nice To Haves

4 years job related work experience or Associate's and 2 years job related work experience (Equivalency not applicable for the Celerian Group. Bachelor's degree required.)
5+ years call center management experience
Superuser with Avaya

Responsibilities

Directs customer service, claims processing, and/or appeals staff in ensuring prompt and accurate processing of items and inquiries.
Develops and supports strategic initiatives to enhance provider and customer satisfaction.
Works closely with areas to track performance and develop measures of success.
Implements process improvements.
Identifies system limitations and serves as project leader on system enhancements and updates.
Leads and supports achievement of departmental, divisional, and corporate strategic objectives.
Collaborates with other functional areas to resolve multi-functional issues.
Provides necessary assistance and resources when necessary.
Develops and monitors budget and resources for all assigned areas.
Responsible for the selection, training, and development of staff.
Ensures excellent customer service is given to employees, customers, management, etc.