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Claims Processing Supervisor - Anchorage Alaska

Company: Company Confidential
Location: Anchorage, Alaska
Posted On: 10/31/2009

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-. More...

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