WE WELCOME YOU INTO A GROWING COMPANY
Consumer Direct Care Network is all about caring for people. Care is at our core, and we strive to live up to it every single day. We are currently providing services in 14 states across the USA, as well as Washington DC. We specialize in providing home and community-based services that support individuals with disabilities and older adults so they can remain in their homes and communities.
Culture Vision at Consumer Direct Care Network
At CDCN, we strive to create a workplace where everyone is supported and motivated to be their best; we collaborate on shared goals and celebrate our accomplishments.
POSITION OVERVIEW
Consumer Direct Care Network is seeking a Claims Manager to work in our office located in Missoula, MT. The Claims Manager is responsible for overseeing all responsibilities of their assigned Claims Teams and directly supervises either Billing, Authorizations, or Data Entry Team Leads.
In the Consumer Direct Care Network, our employees are committed, dependable, professional, and accountable. We have high standards for how our employees conduct themselves at work and in the communities we support. Our company values of Respect, Integrity, Service, and Excellence guide us in all we do. Come join our team and be a part of a rewarding career helping others!
WHAT YOU WILL DO

• Maintain compliance with all company requirements, policies, standards, and procedures
• Accountable and responsible for their team(s) performance and behavior
• Maintain a professional working atmosphere; acting decisively when there is inappropriate behavior
• Ensure teams have all tools and training to succeed in their duties assigned by Team Lead(s)
• Deliver continued training to the team and Team Lead(s) as needed and make sure policy changes are understood and executed
• Responsible for overseeing staff time management; make sure tasks are completed on time
• Responsible for coordinating duties and assisting where needed
• Verify team is completing all tasks correctly
• Maintain positive communication with the team; this includes addressing concerns and questions of team members
• Oversee staffing procedures such as hiring, corrective actions, and performance improvement.
• Maintain professional contact with branch office(s), payer entities, etc.
• Check to make sure the team is using and referencing updated payer manuals and newsletters
• Ensure teams are maintaining all SOPs and that they are all up-to-date and posted on SharePoint
• Ensure Team Lead is maintaining all system tables; and verify they are accurate.
• Review all applicable reports to catch any discrepancies, inaccuracies, or areas that need to be worked.
• Collaborate with stakeholders regarding delivery of services
• Comfortable with public speaking
• Communicate effectively verbally and in writing
• Demonstrate dependability
• Demonstrate effective problem solving and decision-making skills
• Exhibit computer efficiency
• Oversee complex service programs and special projects
• Identify and implement process improvement efforts
• Provide excellent customer service to internal and external clients
• Adjust to work in various companies, circumstances, and scenarios on an as needed basis
• Provide support for escalated issues
• Resolve escalated complaints from internal and external clients
• Maintain discretion on all confidential information
• Collaborate with other Claims Managers to address common department concerns or projects
• Report all issues or concerns to Claims Director
• Perform related duties as assigned by Director
• Other duties as assigned

QUALIFICATIONS

• Microsoft Office experience required
• Bachelor’s Degree preferred
• Prior office experience preferred
• 3+ years prior medical claims experience preferred
• 2+ years of leadership experience required
• Be able to successfully pass a background screening WHAT'S IN IT FOR YOU

When you join Consumer Direct Care Network, you will be exposed to numerous professional development opportunities. We welcome your contributions and value your integrity as we collaborate on work that moves us all toward a compassionate community. We have a long history of helping individuals build their careers in the home-care industry. This is truly a place where there is something for everyone, whether you are looking to support a particular lifestyle, seeking professional growth, or seeking new and challenging work, all in an expanding nationwide company with that small-company feel. Most importantly, you will experience the satisfaction of working in a culture built on caring. Caring for others comes naturally at Consumer Direct Care Network, based on our long history of connecting people and championing change, all geared toward helping others. We are proud of the longevity and loyalty of our employees. Their commitment to doing good work is what makes us a leader in the industry.
As a Consumer Direct Care Network team member you will receive:

• A rewarding career helping others • Fun and engaging work environment built on team unity • Job satisfaction knowing you make a difference in the work you do and lives we serve • Professional training to help advance your skills for career development

Based on your position and employment status, you may be eligible for:

• Medical, Dental, and Vision Insurance
• Accrued Vacation with no waiting period
• Two Paid Floating Holidays
• Nine Paid Federal Holidays
• Paid Safe Sick Time with no waiting period
• 401(k) Retirement plan
• Company-Paid Life Insurance
• Supplemental Life, Accident, Critical Illness, and Hospital benefits
• Short and Long-Term Disability
• Paid Parental Leave
• Flexible Spending Account
• Employee Assistance Program
• Pet Insurance

WHO WE ARE
Consumer Direct Care Network specializes in home and community-based services that assist older adults and individuals of all ages with disabilities and impairments to continue to live their lives independently in their own homes and communities. We provide coordinated service delivery in 14 states and the District of Columbia. Our services span from financial management services and support brokerage to traditional agency in-home care and caregiving to behavioral health. We have extensive experience with Medicaid, Medicare, private insurance, and with supporting people who pay for their own care.
Your opportunities within our network are endless, it’s not just a job, it’s a career… advance it with the Consumer Direct Care Network!
The Consumer Direct Care Network and its subsidiaries are an Equal Opportunity Employer and drug-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
In accordance with the Immigration and Reform Control Act (IRCA), you may only work at Consumer Direct Care Network if you are legally authorized to work in the United States. Consumer Direct Care Network does not provide visa sponsorship to employees.

Job Type: Full-time

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