The Medicare Claims Manager is responsible for claims appeals, claims adjustments, preparation and submission of regulatory deliverables, staff training, professional development of staff, product implementation, writing policies and procedures. This position also includes assisting with development of departmental reference guidelines and staff training program. This position requires strong communication skills, leadership skills and proven management ability. The Medicare Claims Manager is responsible for management oversight of Medicare Claims (DSNP, Medicare Advantage and Part C provider Appeals) and to ensure compliance of regulatory requirements. Responsible for managing compliance requirements which includ
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