Claims Processing Supervisor

📋 Description

• Manage daily team activities and claims processing KPI performance.
• Develop monitoring functions for provider inquiries, claims, and disputes.
• Collaborate with stakeholders on findings, remediation, and reporting.
• Create and update team procedures, workflows, and materials.
• Serve as primary escalation resource for claims processing issues.
• Coach and train team members; identify training gaps.

🎯 Requirements

• Associate’s degree preferred; relevant health plan experience may substitute.
• Minimum 2 years in health plans (managed care or PACE preferred).
• Minimum 2 years supervisory experience in claims processing.
• Medicare/Medicaid billing knowledge; understand contractual/regulatory impacts.
• Strong knowledge of claims processing regulations; problem-solving skills.
• Experience leading in a data-driven org; use reports to prioritize/manage people and projects.

🎁 Benefits

• Medical insurance coverage (Medical, Dental, Vision).
• PTO: 17 days, 12 holidays, 6 sick days.
• 401K with company match.
• Compensation package with base pay and bonus.
• Additional benefits.