| Claims Processing Supervisor - Healthcare Job Description |
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| The following is a full job description for Claims Processing Supervisor - Healthcare. Here are the requirements and responsibilities for Claims Processing Supervisor - Healthcare along with statistics. If after reading this page you determine that Claims Processing Supervisor - Healthcare is not the position you are looking for, you may want to try one of these similar titles: Claims Processing Supervisor - Healthcare, Claims Processing Clerk I - Healthcare, Claims Processing Clerk III - Healthcare, Claims Processing Director - Healthcare, Claims Processing Manager - Healthcare, Claims Processing Clerk II - Healthcare, Claims Supervisor II, Claims Supervisor I, Claims Clerk IV, Claims Clerk II |
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| Requirements and Responsibilities For Claims Processing Supervisor - Healthcare |
| Supervises a team of healthcare claims processors and clerks to ensure accurate and timely claims adjudication and payment. Assigns and monitors workload to balance volume and meet established productivity and quality standards. Reviews processed claims and adjustments to verify accuracy and adherence to coding and payment guidelines. Provides training, coaching, and day-to-day technical support to processing staff. Resolves escalated claims issues and inquiries from providers, members, and internal departments. Ensures compliance with regulatory guidelines, payer requirements, and company procedures. Requires a bachelor's degree. Typically reports to a manager. Supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. Typically requires 3 years experience in the related area as an individual contributor. Thorough knowledge of functional area under supervision. |
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| Also referred to as: Healthcare Claims Operations Supervisor, Medical Claims Operations Supervisor |
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| Similar Jobs: Claims Processing Supervisor - Healthcare, Claims Processing Clerk I - Healthcare, Claims Processing Clerk III - Healthcare, Claims Processing Director - Healthcare, Claims Processing Manager - Healthcare, Claims Processing Clerk II - Healthcare, Claims Supervisor II, Claims Supervisor I, Claims Clerk IV, Claims Clerk II |
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| Level of Education: Claims Processing Supervisor - Healthcare Salaries with No Diploma, Claims Processing Supervisor - Healthcare Salaries with a High School Diploma or Technical Certificate, Claims Processing Supervisor - Healthcare Salaries with an Associate's Degree, Claims Processing Supervisor - Healthcare Salaries with a Bachelor's Degree, Claims Processing Supervisor - Healthcare Salaries with a Master's Degree or MBA, Claims Processing Supervisor - Healthcare Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
