Director of Claims - Full-time / Part-time

The Claims Director will be responsible for providing direction and leadership to the claims department along with managing day-to-day operations including scheduling of resources, monitoring of performance, workflow, and budget. Responsible for all billing, collection operations, accounts payable, agency set up and fee schedule.


��� Develop leadership skills of supervisors and develop staff to respond to department needs, as well as assisting the Claims staff with career development goals.
��� Identify training needs, establish and implement delivery strategy for staff level employees.
��� Effectively plan staff responsibilities and manage activities, utilizing staff resources to meet department goals in accordance with established business plans and budgets.
��� Select, develop and manage staff to ensure appropriate staffing levels to ensure delivery of timely, high quality customer service
��� Develop, recommend and implements short and long term objectives consistent with company business goals, guidelines and programs.
��� Assure that staff makes any corrections and/ or adjustments to authorizations.
��� Assure that claims form (invoice) for each patient will be made by using the information received.
��� Ensure that dates of service on each claim form will then be checked against the previous 1500 form to make sure that no dates have been duplicated or billing periods have been missed.
��� Oversee that all services are billed according to the contract pricing in place.
��� Guarantee that all claim forms are signed, dated and printed, and processed appropriately.
��� Override denials and payments as necessary.
��� Review claim forms for content, accuracy, current authorization numbers and other billing documentation that is required by the insurance carrier.
��� Ensures that all claim forms are mailed appropriately to the respective insurance carrier and/ or other responsible parties.
��� Run a detailed Accounts Receivable Report by patient monthly.
��� Resubmit all unpaid claim forms past due by 30 days or older from date billed.
��� Ensure that payments are posted to each patients account timely and appropriately.
��� Travel and attend meetings as needed for company business.
��� Maintains all master files in computer.
��� Reconciles all claims against authorizations.
��� Other duties as assigned


Non -essential duties

��� Provide departmental education as necessary.
��� Is aware and respectful of employee and patient cultural/religious beliefs and diversity.
��� Is respectful and maintains employee sensitive issues and confidentiality.
��� Consistently maintain personal self-control and professional decorum.
��� Demonstrate independence, initiative and motivation.
��� Other duties as assigned.

About Aerotek:

Our people are everything. As a Best of Staffing® Client and Talent leader, Aerotek® Inc. has distinguished itself as a leader in recruiting and staffing services, by having a deep understanding of the intersection of talent and business. As a strategic partner to more than 17,000 clients and 300,000 contract employees every year, Aerotek's people-focused approach yields competitive advantages for its clients and rewarding careers for its contract employees. Headquartered in Hanover, Md., Aerotek operates a network of over 230 non-franchised offices with more than 6,000 internal employees dedicated to serving our customers. Aerotek is an operating company of Allegis Group, a global talent solutions provider. To learn more, visit .

Aerotek is acting as an Employment Agency in relation to this vacancy.