9 direct support supervisor jobs found

Pharmacy Billing Specialist Working under the direct supervision of the Pharmacy Billing Manager, the incumbent shall perform a variety of technical billing functions to support the mission of KTHFS. The incumbent will provide support to Pharmacy staff in respect to billing of prescriptions claims and services. Major duties and responsibilities include: Proactively gain knowledge to maintain a high level of industry knowledge related to the review/audit and billing of pharmacy claims for prescriptions and pharmacy services. Collaborate with and be available to pharmacy personnel for timely response and support for billing questions and needs. Build and retain positive and professional relationships with external KTHFS business partners. Use implemented and established processes to assure and maintain accurate demographic and billing information. Use implemented high-quality pre and post claims review of each prescription filled and pharmacy services to be billed....

Claims Processing Supervisor AllCare Health | Claims Department We Are Seeking Qualified Candidates to Join Our Team! AllCare Health offers competitive wages and an excellent benefits package, including affordable healthcare, 401(k) retirement, wellness programs, and flexible scheduling options. Summary of the Position The Claims Processing Supervisor ensures that internal and external departmental performance requirements are consistently met. This role oversees the day-to-day activities of the Claims Processing team, assigns work and coordinates efficient workflows to meet contractual and operational requirements, and serves as a hands-on resource for staff regarding training, questions, and claims processing best practices. Essential Duties Provides one-on-one support and initial training for new hires and facilitates monthly mandatory training sessions for Claims Processing staff. Establishes and maintains a professional, supportive, and provider...

Additional Position Details: FTE: 1.000000 Full Time Primarily Mon - Fri / 8AM - 5PM This is not a remote positionStarting Wage for this exempt position: $39.91-$54.89 hourly, depending on experiencePosition SummaryThe Supervisor of Medical Staff Services is responsible for coordinating Asante's centralized credentialing. They collaborate with the director of Medical Staff Services to manage, direct, coordinate, facilitate, and allocate resources for the credentialing of physicians and allied health professionals requesting privileges or affiliation with all Asante hospitals and Asante Physician Partners. They supervise the credentialing specialists responsible for completing primary source verification of these practitioners for initial appointment and reappointment. They ensure regulatory and institutional compliance with credentialing standards for the Organized Medical Staff and Advanced Practice Professionals, including DNV, CMS, State, Hospital, and Medical Staff...

Job Description Job Description Columbia Community Mental Health is a nonprofit agency and Certified Community Behavioral Health Clinic that provides services to individuals with mental, addiction and developmental disabilities.  We uphold our values in authenticity and commitment to quality care. Members of our CCMH team have a daily opportunity to make a positive impact.  Position:  Medical Billing   Specialist Department : Operations and Business Department Shift:  Individual schedules can be determined with supervisor and within business needs/hours. In general, our agency provides services Mon-Fri from 8:00am to 5:00pm (in-office).  Salary Range:  $24.29 to $31.62 (hourly). There are 15 steps on our salary scale. We use a bona fide factor system to determine starting wage (years of experience, education, credentials, and specialty skills that relate to the job requirements).     Benefits:  CCMH provides a generous comprehensive benefits program to...

Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary This is a FT hybrid position based in Milwaukie, Oregon. Provides supervision, coaching and support to Claims Processors. Organizes staff, sets goals, establishes procedures, and continues to...

About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering...

Medical Billing Specialist Columbia Community Mental Health is a nonprofit agency and Certified Community Behavioral Health Clinic that provides services to individuals with mental, addiction and developmental disabilities. We uphold our values in authenticity and commitment to quality care. Members of our CCMH team have a daily opportunity to make a positive impact. Position: Medical Billing Specialist Department: Operations and Business Department Shift: Individual schedules can be determined with supervisor and within business needs/hours. In general, our agency provides services Mon-Fri from 8:00am to 5:00pm (in-office). Salary Range: $24.29 to $31.62 (hourly). There are 15 steps on our salary scale. We use a bona fide factor system to determine starting wage (years of experience, education, credentials, and specialty skills that relate to the job requirements). Benefits: CCMH provides a generous comprehensive benefits program to employees and family members,...

Fully Remote Lake Park Building Full time R182990 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Certified Claims Call Center Processor I at AllCare Health with the Claims department in Grants Pass, Oregon We Are Seeking Qualified Candidates to Join Our Team! AllCare Health offers competitive wages, an excellent benefits package including affordable healthcare, 401k retirement, wellness programs, and flexible schedule options. Summary of the Position The Certified Claims Call Center Processor I serves as a primary point of contact for provider offices and their authorized representatives, responding to inbound calls and electronic inquiries regarding professional and facility claims processing and adjudication. This role combines customer service and certified claims processing responsibilities by independently resolving provider inquiries, researching claim issues, and adjudicating professional claims in accordance with company policy, contract language, coding guidelines, and applicable regulatory requirements....