458 claims supervisor jobs found

A leading claims management firm is seeking an experienced claims supervisor in Oklahoma City, Oklahoma. The ideal candidate will have over 10 years of experience in Workers Compensation claims, including at least 2 years in a supervisory role. This position requires strong leadership skills and effective communication with clients. The role offers fully remote work options and a competitive compensation package with various benefits including medical, dental, and educational reimbursement opportunities. #J-18808-Ljbffr

Introduction At Gallagher Bassett, we’re there when it matters most because helping people through challenging moments is more than just our job—it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast‑paced fixers, empathetic experts, and outcomes drivers—people who care deeply about doing the right thing and doing it well. Whether you’re managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose. Overview...

Why consider this job opportunity: Salary up to $98,750 annually Unique benefits package including alternative medicine coverage, generous PTO, and up to 16 weeks paid parental leave Opportunity for career advancement and meaningful mission-driven work Supportive and collaborative work environment with a focus on employee well-being Flexibility to adapt work schedules based on business needs What to Expect (Job Responsibilities): Oversee, mentor, and evaluate claims examiners, ensuring performance management and KPI monitoring Lead claims processing and inventory management for timely and compliant claims adjudication Analyze quality review findings to identify and address root causes of errors in claims processing Act as the escalation point for complex claims, leading investigations and implementing corrective solutions Collaborate cross-functionally with internal departments to improve policies and procedures What is Required (Qualifications): Strong understanding...

Job Description Job Description 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 Provides supervision, coaching and support to Claim Support staff. Establishes goals, procedures and provide direction to ensure prompt and accurate...

Job Description Job Description SSM Health Dermatology's mission is to strive as a team for excellence by providing the most comprehensive, patient-centered care every day. We are looking for a Patient Scheduling Representative to contribute in their own unique way to our Company’s exceptional services and performance for our patients Objective: Under the general guidance of leadership, the Medical Billing Supervisor is responsible for the daily oversight of billing and revenue cycle operations, ensuring timely and accurate submission of claims, resolution of denials, and compliance with all payer requirements. This role directly supervises billing team members, provides performance management, conducts routine employee development meetings, and monitors key performance metrics to support organizational efficiency and financial objectives. The Medical Billing Supervisor serves as an advanced resource to staff, providers, and internal departments, while maintaining a high...

Job Description Job Description Description: Job Title: Medical Biller II Salary: $25hr-$28hr DOE Location: Tustin, CA Openings: 1 Position Purpose: The Medical Billing Specialist II supports the revenue cycle team by independently performing a broad range of billing functions with moderate complexity. This role is responsible for accurate insurance verification, charge entry, claim submission, payment posting, and resolution of routine denials to ensure compliance with payer requirements and timely reimbursement. Core Duties and responsibilities, include but are not limited to: Insurance & Eligibility Verification Verify complex insurance coverage (Medi-Cal, Medicare, Managed Care, Commercial, PPO/HMO). Research and resolve discrepancies in patient coverage or eligibility. Document eligibility outcomes in the EHR/PM system. Charge Entry & Coding Support Perform charge entry and apply CPT, ICD-10, and HCPCS codes. Review encounter forms...

Job Description Job Description Salary: $15-$17/hour Education, Experience, and Licensing Requirements: High school diploma, GED, or equivalent University/college degree, or experience medical records, claims or billing areas is an asset. CCA (AHIMA) CCS (AAPC) or greater Expectations of Role: Manages the Insurance billing and collections processes. Excellent organizational skills and attention to detail. . Processes, tracks claims, and ensures accuracy and timeliness in the billing process. Provides excellent customer service to our clients. Inputs patient information into the practices billing software. Submits claims to insurance companies and follows up on unpaid claims. Posts ERA payments, Resolves any issues that arise with claims or payments. Maintains accurate records of billing and collection activities Generates monthly reports to track billing and collection performance. Accounts for coding and abstracting of patient encounters, including...

Job Description Job Description Description: Job Summary: ESSENTIAL FUNCTIONS: · Consistently and accurately assigns ICD-10-CM, CPT and/or HCPCS codes in accordance with current year CMS/AMA CPT-4, HCPCS and Official ICD-10 Coding Guidelines by reviewing and interpreting medical documentation from physician office visit notes, procedure notes, nurse visit notes, provider orders, pathology, labs, etc. · Identifies and abstracts any additional documented HCC diagnosis not listed by the provider in the Assessment/Impression/Final Diagnosis · Review and report missing or incomplete documentation · Query providers or clinic staff as necessary for clarification of documentation or lack thereof as it pertains to proper application of ICD-10-CM diagnosis coding, HCPCS and CPT E/M and procedure coding · Monitor assigned work lists and provider lists to ensure all records are coded in a timely manner · Meets departmental productivity standards for coding · Maintain current...

Job Description Job Description Are you looking to join a purpose-driven company with strong values and a team that truly supports one another? If so, we’d love to hear from you. GO Physical Therapy is seeking motivated and engaged individuals for our Billing Team in Grand Island, NE. We invite you to apply and share your resume. DUTIES AND PERFORMANCE EXPECTATIONS: Work all denials and appeals in a timely fashion and within requirements set forth by the payers. Correct any billing errors by resubmitting claims to insurance carriers or handling otherwise as appropriate. Works with therapist or other team members to ensure that correct diagnosis/procedures are reported to insurance carriers. Responsible for re-billing, preparing and submitting claims to insurance carriers, primarily electronically. Pursues collection of all claims until payment is made by insurance companies. Follow-up with insurance carriers on unpaid claims until claims are paid or only self-pay...

PURPOSE OF THIS POSITION This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization’s operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. JOB DUTIES/RESPONSIBILITIES Duty 1: Maintains a thorough understanding and education of federal and state regulations and payer specific policies...

Job Description Job Description Local, fast-paced, growing specialty practice looking for a Full-Time Medical Coder / Biller. Northlake Gastroenterology Associates is comprised of 6 physicians, 5 NPs, 3 offices and 2 Ambulatory Surgical Centers. We are continuously advancing and making strides to keep up with the modernization of the medical field and industry standards as a whole.  Experience:  Minimum of 5 years of medical billing required, CPC certification required General skills and knowledge: General experience working with insurance carriers and representatives, patients, and staff on meeting/communicating billing & documentation concerns or requirements for billed services. Standard industry policy and procedure in a medical office setting (i.e. billing, front desk, eligibility verification, PAs, scheduling, referrals, etc.) Working reports and queues such as A/R, aging, collections, failed scrub, invalid, rejected, etc. HIPAA compliance and guidelines...

Adecco Healthcare & Life Sciences is hiring Medical Billers in West Knoxville, TN ! This role will start onsite with the initial training process, once training is passed the option for remote/hybrid should become available. Please review the details below and apply with an updated resume. Position Type : Temp to hire Schedule : Monday through Friday, 8:00am to 5:00pm Pay : $16 to $18 per hour based on experience Responsibilities of the Medical Biller : Assists Billing Supervisor to recognize and identify issues pertaining to the working of accounts. Demonstrates the ability to handle varying tasks as well as understanding and interpreting procedures relative to the revenue process. Demonstrates knowledge of State and Federal regulations, HIPAA guidelines, HCFA guidelines, TennCare guidelines and other Third-Party Payer requirements assuring departmental compliance. Recognizes situations, which necessitate supervision and guidance, seeks...

Medical Billing & Claims Program Cost: Tuition and Financing Options U.S. Career Institute is committed to making your education affordable. Tuition includes electronic lesson books, supplements, instructor assistance, and career support for graduates. You can start your new career without a mountain of debt. Pay In Full $1,239 SAVE $300 Application charge is waived Auto Payments $1,539 * $79 Monthly Payment *Plus a one-time $29 application charge. **First payment includes a $50 down payment and a $29 application charge. The application charge is non-refundable. Request Information *By clicking the Next Step button, I am providing my electronic signature and giving my express written consent for U.S. Career Institute to mail, email, call, or text me using automated technology, including artificial voices, pre-recorded messages, and auto-dialers, about educational services and future offers at the information provided above, including my wireless number. I understand...

Job Description Job Description Hybrid-Sunrise, Florida Position Summary: The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities: Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. Responsible for assisting the Fraud...

Job Description Job Description   ** credentialing experience a plus   ** collecting experience a plus General Accountabilities Determines appropriate charges based on services provided. Reviews patient accounts to ensure accuracy and completeness of claims billing for maximum reimbursement. Reviews explanations of benefits from third party payers to determine if payment was made correctly and if denials can be re-billed. Analyzes and maintains reports to ensure timely submission of claims. Identifies problem accounts requiring further work. Provides information to insurance carriers or patients regarding patient accounts. Assists patients with billing problems. Notifies supervisor of ongoing problems. Maintains files on all documentation such as charge slips, Explanations of Benefits, and client or patient information. Prepares and distributes reports. Refers accounts to collectors in accordance with policy. Performs other related duties as assigned or requested. *The...

Job Description Job Description JOB OVERVIEW We are seeking a detail-oriented and organized Billing Specialist to join our dynamic team. The ideal candidate will have a strong background in medical billing and coding, with a comprehensive understanding of medical terminology. This role is crucial for ensuring accurate billing processes, maintaining patient accounts, and facilitating smooth transactions within our medical office. ESSENTIAL DUTIES AND RESPONSIBILITIES: · Reviews, researches and resolves all rejected claims and claim balances on assigned A/R through the use of workqueues. · Records objective, professional, thorough and comprehensible notes to account folders and/or system software. · Records problem accounts on specific payer issues log and uses proper follow-up procedures for resolution. Contacts insurance companies when required and appropriate to secure payment on previously billed accounts. · Promptly contacts physician’s office for clarification...

Description Western Growers Health— a part of Western Growers Family of Companies— provides employer-sponsored health benefit plans to meet the needs of those working for the agriculture industry. The unmatched benefit options provided by Western Growers Health stem from the core mission of Western Growers Association (est. 1926) to support the business interests of employers in the agriculture industry. Our mission at Western Growers Health is to deliver value to employers by offering robust health plans that meet the needs of a diverse workforce. By working at Western Growers Health, you will join a dedicated team of employees who care about offering quality health benefits and excellent customer service to plan participants. If you want to start making a difference working in the health care industry, then apply to Western Growers Health today! Compensation: $46,669.19 - $65,668.50 with a rich benefits package that includes profit-sharing. This is a remote position and can...

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Reporting to the Supervisor of Outpatient Coding, The OP Senior Coder is a vital multifaceted role within the Outpatient Coding Department. This position provides support to the Outpatient Coding Department as a OP coding subject matter expert, educator, QA reviewer, and also focuses daily efforts on A/R management and oversight. Additionally, this person works with partner departments to problem solve issues and streamline processes. The OP Senior Coder is also required to mentor other team members and also prepare them for the role of OP Senior Coder. The OP Senior Coder possesses a strong level of OP clinical coding expertise, and has the ability to handle multiple priorities....

Job Description Job Description Salary Range : $26.00 to $31.00 an hour By adhering to Connecticut State Law, pay ranges are posted. The pay rate will vary based on various factors including but not limited to experience, skills, knowledge of position and comparison to others who are already in this role within the company. Flu Vaccine Considerations Proof of annual flu vaccination is required for all employees. PACT MSO, LLC is a management service organization that supports a large multi-specialty practice of providers. We are currently looking for an experienced Medical Coder who will be working in Branford Monday through Friday from 8:30am to 5:00pm. This is not a remote position. Summary The coder reviews, analyzes, and codes diagnostic and procedural information in the medical record that determines Medicare, Medicaid, and private insurance payments. The primary function of this position is to assign ICD10, CPT, and HCPCS coding based on provider...

Orlando Family Physicians, LLC It's fun to work in a company where people truly believe in what they're doing! We're committed to bringing passion and customer focus to the business. Responsible for providing coding services on all diagnosis and maintains a professional relationship with the managers and providers. Responsibilities: Audits records to ensure proper submission of services prior to billing on pre-determined charges Receives proper progress notes to properly bill provider services for services provided to patients Supplies correct ICD-10 CM diagnosis codes on all diagnosis provided Supplies correct HCPCS code on all procedures and services performed Supplies correct CPT code on all procedures and services performed Coding claims 100-150 a day Contacts providers to train and update them with correct coding information Remain current on coding issues Accurately follows coding guidelines and legal requirements to ensure compliance with federal and State...

Caring. Connecting. Growing Together. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Under direction of the Coding Manager, the primary responsibility of the Medical Coder is to ensure that codes representing current International Classification of Diseases, 9th Revision (ICD-9) or 10th Revision (ICD-10), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS) accurately reflect documented services by applying a demonstrated knowledge of anatomy, physiology and...

Customer Service Operations Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Management is responsible for strategic oversight and leadership direction within the Customer Service function. Job Summary: The Supervisor, HCP Medical Documentation oversees the Clinical Notes Team responsible for reviewing and qualifying medical documentation to ensure compliance with insurance requirements, primarily for Continuous Glucose Monitoring (CGM) products. This role manages a team of associates who interpret clinical notes from healthcare providers, validate documentation against Medicare and insurance policies, and support the submission of claims. The Supervisor ensures timely turnaround of documentation, allocates work across multiple systems, and drives team performance through coaching, development, and accountability. Responsibilities: Directly...

Overview Why work for Nebraska Methodist Health System? At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that sets us apart. We offer competitive pay, excellent benefits and a great work environment where all employees are valued. Our employees are part of a team that makes a real difference in the communities we live and work in. Location The Methodist Corporate Office Address 825 S 169th St. - Omaha, NE Work Schedule Mon - Fri, full-time, flexible 8-hour daytime shifts Job Summary Codes professional charges for surgical procedures for inpatient and outpatient services including correct CPT, ICD-10-CM, and modifiers in accordance with medical policies and guidelines. Responsibilities Essential Functions Assign ICD-10-CM diagnosis, CPT procedure codes, and HCPCS device codes as necessary to outpatient records to ensure maximum reimbursement, utilizing...

Job Description Job Description Description: Job Description Position: Medical Billing Specialist Department: Revenue Cycle Management/Revenue Cycle Services Supervisor: Billing Manager Employment Type: Full-Time Scope: We are seeking an experienced Medical Billing Specialist to join our billing team. The ideal candidate would have a background in the medical billing processes, excellent communication skills, and the ability to handle complex billing tasks efficiently. This role involves resolving billing errors, interacting with patients and various clients, and ensuring an accurate and timely billing practice. CLIA Responsibilities: This is not a CLIA regulated position. Duties / Responsibilities: Patient and Business Communication: Answer billing questions for patients and businesses. Take credit card payments over the phone and provide billing support as required. Check and reply to emails related to billing inquiries and updates. Error...