476 claims supervisor jobs found

Claims Supervisor – Workers Compensation Medical Only Join to apply for the Claims Supervisor – Workers Compensation Medical Only role at Gallagher Bassett Introduction At Gallagher Bassett, 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 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. Base Pay Range $76,000.00/yr – $121,500.00/yr Role Specifics Jurisdictions: Nationwide Medical Only Licenses: Applicable licensure Remote work: Eligible for fully remote work How You’ll Make an Impact Supervise: Lead and encourage a Workers Compensation...

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

A national claims management firm is seeking a Claims Supervisor for Workers Compensation Medical Only in Oklahoma City. This leadership role entails supervising a claims team, guiding best practices, and managing workloads to ensure high-quality service delivery. Candidates should have at least 10 years of claims experience and be appropriately licensed. The position supports fully remote work and offers a competitive salary range between $76,000 and $121,500. #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...

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...

A leading claims management provider in Oklahoma City is seeking a qualified individual to supervise a nationwide Workers Compensation claims team. The ideal candidate possesses extensive leadership experience, a strong background in claims, and must be appropriately licensed. This role emphasizes best practices, client communication, and team development. A competitive compensation package including various benefits will be offered, and the position is eligible for fully remote work. #J-18808-Ljbffr

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 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...

Health Information Coder The Health Information Coder provides exceptional customer care to the SMRMC consumer, visitor and staff. The HIM Coder checks the coding ques daily, working the highest dollar and the oldest accounts first using complete electronic health encounter to select the most accurate and applicable codes to encounter. The HIM Coder with communicate with the Coding Supervisor and Billing Staff daily via Microsoft Teams or Paragon Tickler system so claims are resolved as quickly and as clean as possible. Participates in bi-weekly meetings, monthly quarterly and yearly coding education through various educational sources. Maintains coding certification and continuing education units. Must be willing to perform any task assigned by supervisor or Department Head to help complete task. Additional Responsibilities: Review and code patient encounters of all specialty types for Professional Fee Coding for outpatient clinic visits Ensure that all primary and secondary...

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...

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...

Customer Service Operations Supervisor 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...

Job Description Job Description Billing Specialist The medical billing specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers. The medical billing and collection specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments base on payer contracts or government regulations. In addition, the medical billing and collection specialist must demonstrate proficiency with billing system to ensure all functionality is utilized for the utmost efficient processing of claims to Insurances nationwide. Accountabilities: Responsible for charge and payment entry...

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...

Vascular Surgery Coder The job family is General Coding. Travel is not required. Clearance is not required. The Vascular Surgery Coder must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager, the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers 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...

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...

Job Description Job Description Description: NO WEEKENDS, NO EVENINGS, NO HOLIDAYS We offer competitive pay as well as PTO, Holiday pay, and comprehensive benefits package! Benefits: · Health insurance · Dental insurance · Vision insurance · Life Insurance · Pet Insurance · Health savings account · Paid sick time · Paid time off · Paid holidays · Profit sharing · Retirement plan GENERAL SUMMARY The Coder Certified is responsible for successfully and efficiently coding all cases to the highest level of accuracy to ensure maximum reimbursement. The Coder Certified will ensure quality and productivity standards are met. The Coder Certified will ensure accurate coding of documentation to include diagnoses, procedures, and modifiers with adherence to established coding guidelines for both government and third-party payers. They work with the Coding Supervisor to escalate coding issues and prevent untimely claim submission and denials....

Job Description Job Description Long-Term Care Medical Biller   About Garden Spot Communities Garden Spot Communities has evolved into a community that thrives on purpose, opportunity and living life to its fullest. While others in our market space talk about seniors and retirement, here we talk about people and opportunity. Our heritage, mission and core values play a fundamental role as they ground us in the present and shape our future.   Discover Garden Spot’s benefits and how you can experience Life with Purpose™ Health insurance 401K program with company match Tuition assistance First-time home-buyer program $22/hr Overview: Garden Spot Village is seeking a detail-oriented and experienced Long-Term Care Medical Biller to assist in the completion of the billing cycle for our long-term care facilities. This role is responsible for ancillaries, claims submission, payment posting, trust accounts, account reconciliation, and diligent follow-up on unpaid...

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 Description: About Us: At Conservative Care Occupational Health (CCOH), we provide comprehensive occupational medicine and urgent-care services designed to keep employees healthy, safe, and work-ready. Our team takes pride in delivering exceptional, compassionate care with professionalism and efficiency. We’re looking for a Medical Billing Specialist in the NW Arkansas area, who will play a key role in supporting accurate, timely and efficient billing operations that keep our clinics running smoothly and our clients well-served. Position Summary: The Medical Billing Specialist ensures that claims are processed accurately, payments are posted correctly, and payer issues are resolved promptly. This role requires excellent attention to detail, strong communication skills, and the ability to manage a high volume of billing tasks while maintaining accuracy and professionalism. What You’ll Do: Process medical claims to insurance carriers,...

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...

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...