Claims Resolution Supervisor

Job Summary

Supervising the claims resolution team, the full-time remote Claims Resolution Supervisor will manage review requests and claims projects, ensuring timely and accurate resolutions while providing staff guidance and maintaining compliance with policies.

Key responsibilities

• Supervises daily operations of the claims resolution team, including work assignments, training, and performance management
• Manages the inventory of provider review requests and claims projects to ensure timely resolution
• Identifies trends in review requests and claims outcomes, escalating issues and recommending corrective actions

Required qualifications

• Associate's degree required; relevant experience may be considered in lieu of a degree
• Three to five years of experience in healthcare claims management or billing required
• One to two years of supervisory or leadership experience preferred
• Strong knowledge of healthcare billing, coding, and claims regulations
• Ability to analyze claims and manage a varied inventory of review requests and claims projects