Claims Processing Supervisor

Job Summary

A company is looking for a Claims Processing Supervisor.

Key Responsibilities

• Manage the team's daily activities and performance related to claims processing KPIs
• Develop monitoring functions to oversee provider inquiries, claims, and recovery disputes
• Collaborate with internal stakeholders on findings, remediation, and reporting

Required Qualifications

• Associate's degree preferred; relevant professional experience may be substituted
• Minimum of two (2) years of experience in health plans, with managed care or PACE preferred
• Minimum of two (2) years of supervisory experience in a claims processing environment
• Working knowledge in Medicare or Medicaid billing and guidelines
• Experience leading in a data-driven organization, leveraging reports and data