Advanced knowledge of the RIMS claims processing system, Electronic Claims Submission, dental insurance industry and dental terminology. Direct responsibility for 10-30 staff members including claims adjusters, member services representative and clerical staff. Manage daily workflow for the Claims, Member Services and Pre-Screening Departments to ensure client specific goals and company goals are achieved. Monitors daily call reports to maintain performance standards.
Monitors daily claim processing to maintain performance standards.
Serve as liaison between management from other departments and teams regarding workflow issues. Sorry, no faxed or mailed resumes accepted.