210 medical claims supervisor jobs found

Job Description Job Description Hybrid Direct Hire F/T Medical Claims Supervisor Needed in Aurora, IL Our client, a growing Union Health and Welfare Fund located in Aurora, Illinois, has a staffing need for an experienced, partially remote, direct hire, full-time Quality Assurance and Training Medical Claims Supervisor. Competitive yearly compensation and great Union benefits. This is a direct hire, full-time position Hours: Monday-Friday (8:00am to 4:30pm) with a 1 hour unpaid lunch for a total of 37.5 hours per week. Job Responsibilities: Supervise a team of direct reports and oversee the department’s Quality Assurance (QA) and training programs by identifying training needs through analysis and trending of Department quality results. Responsible for partnering with internal and external parties to ensure that the company goals and deadlines are met. Provides leadership, motivates, advocates, trains, mentors, coaches, develops team and delegates work. Oversee...

Job Description Job Description This position is located in Cypress, CA The Need: We are seeking a Claims Supervisor to join our growing team. In this role, you will be responsible for providing leadership and oversight to the Claims team. Accountable for ensuring the team adheres to standard work and meets department key performance indicators. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. 1. Proactively seek to improve the internal capabilities and service of the Claims Operations through process improvements and training. 2. Assist with the implementation of standard work to ensure that appropriate controls and compliance is maintained at all times. 3. Support training and provide guidance to the Claims Adjusters and Auditors, to ensure they are utilizing the appropriate Plan documents and training materials in order to attain key performance metrics. 4. Promote a learning environment that cultivates the skills and...

Job Description Job Description The Need: We are seeking a Claims Supervisor to join our growing team. In this role, you will be responsible for providing leadership and oversight to the Claims team. Accountable for ensuring the team adheres to standard work and meets department key performance indicators. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. 1. Proactively seek to improve the internal capabilities and service of the Claims Operations through process improvements and training. 2. Assist with the implementation of standard work to ensure that appropriate controls and compliance is maintained at all times. 3. Support training and provide guidance to the Claims Adjusters and Auditors, to ensure they are utilizing the appropriate Plan documents and training materials in order to attain key performance metrics. 4. Promote a learning environment that cultivates the skills and knowledge of all team members. 5. Maintain...

Job Description Job Description The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of claims department and of CorVel. This is a remote role reporting to our Syracuse, NY office. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Supervises claims staff in their day-to-day operations Supports Claims Manager in staff recruitment, interviews and training of new staff on procedures and job-related functions Ensures staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements Assures peak performance of the team through continued training and coaching, coupled with regular performance evaluations and recommends merit activity, subject to manager’s approval...

Division or Field Office: New York Branch Office Department of Position: Claims Department Work from: New York Office Salary Range: $74,622.00 - $119,202.00 * salary range is for this level and may vary based on actual level of role hired for *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment. At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 5,000 employees and over 2,200 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. Benefits That Go Beyond The...

Make a positive difference in others' lives at a job where you can say you truly love what you do! 180 Medical has once again been voted one the Best Places to Work in our home state. Our employees enjoy: •Competitive pay plus incentives, gift cards, etc. •Eligible to promote after 6 months •Amazing, people-first culture! Position's Purpose: Performs accounts receivable functions including billing, pursuing reimbursement, customer service, and record keeping. Are you curious why we have been ranked as one of the best places to work? Find out here! Job Duties: Responsible for claim review and submission to Medicare, Medicaid, commercial and private insurance payers. Verifies accuracy and completeness of all required information prior to submission. Follows up with insurance companies on unpaid or rejected claims. Resolves issues and resubmits claims. Reads and interprets insurance explanation of benefits. Maintains specialized knowledge in insurance processes and...

Description Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future - we provide the venue for individuals who have...

Job Description Job Description Who We Are At Pawnee Mental Health, we take a great deal of pride in the services we offer, and the progress made by those we serve. All employees, regardless of their role, are an important part of our success! To help us achieve our mission, we’re looking for bright and talented people with great ideas. We believe individuals and families with mental health and/or substance use challenges should have the opportunity to lead normal, productive lives at home and in their communities. If you feel the same, we invite you to explore the opportunity below to see how you can make a difference! We look forward to reviewing your application! What We Offer Pawnee is proud to offer a full range of benefits to all our full-time staff! We offer a full range of health, dental, and vision insurance through the State of Kansas, as well as an excellent retirement plan through KPERS. We are also proud to provide competitive wages, generous paid...

Job Details Job Location 10 - Davenport Campus - Davenport, IA Position Type Full Time Education Level 2 Year Degree Travel Percentage None Job Shift Daytime Job Category Customer Service Description This is a key position within the Revenue Cycle Department. This role primarily follows the claim process from origin to completion ensuring proper coding procedures. He/She will be responsible for accounts receivable goals, by ensuring timely communication follow-up and correspondence with clinicians, insurance companies, and patients. He/She will be responsible for monitoring, pursuing, and collecting on past-due accounts, ensuring that payments from all sources are recorded and reconciled timely to maximize revenues. EDUCATION AND EXPERIENCE Associate Degree, Billing Certification or at least two years related experience and/or training required. Preferred experience specific to Chiropractic billing and coding. Experience in healthcare billing field to...

Job Description Job Description Essential Duties and Responsibilities The essential functions include, but are not limited to the following: Preparing and submitting clean claims to various insurance companies either electronically or by paper Answering questions from patients, clerical staff, and insurance companies Identifying and resolving patient billing complaints Preparing, reviewing, and sending patient statements Evaluating patient’s financial status and establishing budget payment plans; following and reporting status of delinquent accounts Reviewing accounts for possible assignment and making recommendations to the Billing Supervisor; preparing information for the collection agency. Performing various collection actions including contacting patients by phone; correcting and resubmitting claims to third party payers Processing payments from insurance companies and preparing a daily deposit Maintaining strictest confidentiality; adhering to all HIPAA guidelines...

Job Description Job Description We are looking for an experienced medical biller to join our rapidly growing company. Join our great culture of 40+ billers and coders as we serve medical practices from all over the country. Company benefits include bonus opportunities, paid PTO, paid holidays, 4-day work week, matching 401 K, complimentary snacks and meals and team parties/activities. Lead and supervisor opportunities available. Take your career to the next level and join a winning team! $17 - $22 hourly, pay depends on experience Job responsibilities as a medical biller may include: Coding and Billing medical claims Training and mentoring new billers Researching and appealing denied claims Assisting patients with billing questions Posting payments Providing customer service questions with medical practices Medical Biller Requirements High School Diploma or Equivalent 2+ years of experience (also hiring for non-experience medical billing position. Apply if new to...

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...

Description: Job Summary: The Compliance Auditor/Monitor has the primary responsibility of developing, implementing and conducting compliance reviews for both multi-specialty professional services and hospital services under the direction of the Manager of Compliance Auditing and Monitoring Services. All such reviews for both professional and hospital claims must be performed in accordance with requirements of Centers for Medicare and Medicaid (CMS) and the Compliance Audit Methodology. In this role, the Compliance Auditor will lead, provide expert technical skills, and assist with highly visible, sensitive, and multifaceted auditing and monitoring projects. He/She will evaluate compliant billing, documentation, and coding requirements, summarize findings, and propose recommendations for multi-specialty professional services and hospital claims. The Compliance Auditor will help determine if corrective action plans are needed to mitigate any risks identified in the audit. The...

Description Publix Super Markets tops the list of privately-owned supermarkets in the US. We hold no long-term debt and continue to grow year after year. Publix and our associates excel in community involvement, volunteerism, and environmental sustainability. Our collective commitment to diversity has contributed to our success in being a great place to work and shop. It's satisfying to work for - and be an owner in - a Fortune 100 company that is widely recognized as a leader in the supermarket industry. The Medical Bill Review Supervisor oversees the multi-state workers compensation clinical billing process, ensures payment of bills are in compliance with with the respective state department of financial services, and monitors the relationship between Publix and its clinical care and bill review vendors. In Publix's corporate offices, we value in-person interactions, similar to those our store associates have with customers. Many of Publix's corporate offices offer work from...

Job Description Job Description MEDICAL BILLING COORDINATOR The Medical Billing Coordinator will provide administrative support through supervision of all medical billing and coding functions in the electronic medical record (EMR) system as well as providing direct supervision for the Oral Health program. The position will be responsible for ensuring the accuracy of data submitted in the EMR for third party billing contractors and ensure that patient services are billed appropriately between medical insurance, drug price control program, and/ or grant funding services. Full benefits available including medical, vision, dental, life, and retirement options! ESSENTIAL DUTIES AND RESPONSIBILITIES : Review patient charts and documents to ensure accuracy of billing codes entered in Athena Collector for billing. Assist in the oversite and implementation of insurance credentialing process. Ensure that all codes are current and active. Report missing or incomplete...

LOOKING FOR A FULLY REMOTE CPC CERTIFIED THROUGH THE AAPC, MEDICAL BILLER PLEASE APPLY! Job Description: Responsible for the timely submission of technical or professional medical claims to insurance companies including physician offices, hospitals, nursing homes, or other health care facility. Job Duties: Review patient bills for accuracy and completeness and obtain any missing information. The qualified candidate will be able to perform the following: Prepares and submits clean claims to various insurance companies either electronically or by paper. Answers questions from patients, clerical staff and insurance companies. Identifies and resolves patient billing complaints. Prepares, reviews and sends patient statements. Evaluates patients financial status and establishes budget payment plans. Follows and reports status of delinquent accounts. Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares...

Job Description Job Description   Job description Arizona Community Physicians (ACP) is seeking an experienced supervisor for our out-patient clinical office which provides care to both primary care and pediatric patients, located in southern Tucson near I-19 and Valencia.   A Medical Office Supervisor (Site Coordinator) at ACP is an important member of our management team. Primary responsibilities include managing a variety of employee, administrative and operational activities of a physician practice site. These roles also play an important role in patient relations, helping ACP achieve our value for excellence in patient care. Serving as the primary liaison to ACP administrative offices and other practice sites, the Site Coordinator is responsible for delivering quality management practices in all areas of responsibility. This is a hands-on managing role with a variety of administrative activities to coordinate.   These activities include but are not limited to...

Job Description Job Description Medical Coding Supervisor   Arizona Community Physicians is seeking a full-time Medical Coding Supervisor to lead a small team of coding professionals. The Coding Supervisor is an important role in our Revenue Department in which we deliver quality services.  We are looking for an experienced coder/supervisor who can roll up their sleeves and bring coding expertise and leadership to our coding team, business partners, employees, and providers.  Our position offices at our administrative campus at Rosemont and Broadway and offers a professional, casual, and fun work environment.  Our employees enjoy wearing their denim jeans with the option to bring their dog to work which makes for a relaxed, fun work environment.  Employees enjoy decorating their offices and celebrating activities all in the spirit of fun and collaboration.   Arizona Community Physicians (ACP) is Arizona’s largest and most successful physician-owned medical group. ACP is a...

General Description : Provide front-line coding support to medical providers and other staff as appropriate. Develop and conduct training/education for providers and other clinical staff in accordance with FQHC policies and procedures. Reports to: Billing/Coding Supervisor Supervises: N/A Salary/Status : Non-Exempt Minimum Requirements: Certification as a Certified Professional Coder (CPC) or equivalent preferred. Experience with compliance, coding and billing issues, as well as experience in registering patients and entering/reconciling charges in a medical billing system as needed. Ability to establish and maintain effective working relationships with third party payers, individuals seeking assistance, and the general public. Professional in behavior and appearance Ability to read and decipher chart notes to validate, correct/ and/or apply appropriate diagnosis codes to claims as needed. Computer literacy and PC application skills Must possess the...

Who We Are WPS Health Solutions is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS Health Solutions has been making health care easier for the people we serve for more than 75 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' Performance-Based Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an inclusive and empowering employee experience. We recognize the benefits of Diversity, Equity, and Inclusion as an investment in our workforce-both current and future-to effectively seek, leverage, and include...

A wellestablished Medical Billing & Coding company is seeking an experienced Medical BillingSpecialistto join their billing team. Job Description Seeking an individual with medical billing and EMR billing software EXPERIENCE who strives to deliver the highest of customer service standards. This position is responsible for supporting the Account Management team by posting insurance payments and completing daily Explanation of Benefits (EOB) batches in accordance with established billing and collections policies and procedures, filing all primary and secondary claims by electronic and paper methods, running all standard monthly reports, and performing follow-up with insurance tracking report as directed. This is NOT a remote position . Qualifications · Preferred 4 years’ experience in a medical office reimbursement department · Experience with EMR Management software · Strong background in Accounts Receivable · Strong communication skills as you will be speaking...

Job Title: Medical Biller, Heywood Medical Group Billing Office,40 Hours, All Shifts Location: Gardner, Massachusetts Posted Date: 11/22/2023 Hiring Manager Name: Andrea Cuthbert Facility: Heywood Medical Group Department: HMG BILLING OFFICE,2002.66540 Union: Non-Union Position Type: Regular Position Control #: 2002.8265 Expected assignment length/Shift Details exp. M-F: Mixed Position Hours (Enter Numbers Only): 40 Shift: All Shifts Weekend Frequency: NA Holiday Rotation: Rotating Job Summary Responsible for the timely submiossion of professional medical claims to insurance companies. Verfies completeness and accuracy of insurance claims prior to submission. Reviews and appeal unpaid and denied claims. Services as a resource for CTP and ICD-10 inquiries. Answers patients' billing questions for complete description see below. Job Requirements Minimum Education High School graduate or quiivalent required Minimum Work Experience Knowledge of medical...

Job Description Job Description Medical Laboratory Billing Supervisor - Clinical Lab For experienced lab billers who will enjoy being a part of a growing business, where commitment to quality of patient testing is truly appreciated and individual contribution is recognized. We need an enthusiastic, entrepreneurial Figure it Out, and committed to Getting it Done person who understands that the team Wins Together. Job Summary: We are looking for highly organized billing manager with years of experience in the healthcare industry, and specifically laboratory medicine. You will be responsible for managing claim analysts, overseeing the whole billing/collection cycle and interacting with our third party biller. Your knowledge of billing, accounting and customer service issues combined with your communication and account management skills will shape how LabFlorida will continue to grow. Qualifications: Associate’s degree or higher Minimum 3 years of prior billing...

Job Family: PFS Billing Travel Required: None Clearance Required: None What You Will Do: The Medical Biller (Medicare Billing) is expected to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims. Must work with other departments to facilitate the meeting of both departmental and facility goals and objectives. Demonstrates an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers. Has an extensive knowledge of billing requirements mandated by payers and / or governmental regulations. This position will perform any and all related job duties as assigned. This position can be based either in San Marcos, CA or in the Gardena Office with a Hybrid schedule. Questions regarding this position, feel free to call Chris Rivera (Manager, Talent Acquisition) at (424) 430-3111. Essential Job...