- Guidehouse (San Marcos, CA)
- …to 10% **Clearance Required** **:** None **What You Will Do** **:** The **Billing Supervisor - Healthcare Claims ** is responsible for the daily operations of ... of billers, billing systems and billing processes. The Billing Supervisor reports directly to an Operations Manager or Director...Access, Medical Records and Information Systems to ensure clean claim rate meets established goals. + Works with both… more
- ICW Group (Orlando, FL)
- …JOB** The purpose of this job is to supervise and provide guidance to the Claims Support staff and to assist in escalated Claims matters. This position exists ... to ensure that Company objectives and standards are met within the Claims Support team. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Manages a claims support unit… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …for proper documentation and will ensure that all necessary data was verified prior to billing. Additional responsibilities: + Check claim to verify correct ... growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing...others for all aspects of the UB04 and 1500 claim forms. WHAT WE OFFER As a CommuniCare employee… more
- Kemper (Henderson, NV)
- …our stakeholders that delivers on our promises._ **Position Summary:** Our Express Supervisor is responsible for supervision of a unit of outbound Express Adjusters ... including delegation of authority and disposition of assigned claims . **Position Responsibilities:** + Hires and trains employees for the unit. Monitors employee… more
- Allied Universal (Salt Lake City, UT)
- …claims with red flags that suggest fraudulent behavior In relation to an Insurance claim . The Claims / SIU Specialist must use their extensive knowledge of ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic… more
- CVS Health (Franklin, TN)
- …every day. **Position Summary** The Team Lead for the Medicare Supplement Claims Processing team is responsible for overseeing day-to-day operations to ensure ... timely, accurate, and compliant adjudication of claims . This role provides leadership, coaching, and...Team Lead plays a key role in supporting the supervisor and ensuring departmental goals are met by understanding… more
- CHS (Clearwater, FL)
- …and financial accuracy percentages. * Coordinating escalations from other Departments with the Claims Supervisor to ensure that timely and complete actions and ... responses are provided. * Reviewing and approving higher dollar claims prior to payment. * Oversight for the ongoing management of claims processing… more
- LA Care Health Plan (Los Angeles, CA)
- …administrative functions for the audit team. Set up completely and timely work papers needed prior to going on site for the claims audits. Perform other duties ... Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location:...with LA Care. This role works closely with the Supervisor and/or Lead Auditor on identification and resolution of… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …PDF format. For additional information about this position please contact Crystal Breton, Supervisor Claims Adjustment Unit at ### or by e-mail at ###@Maine.gov ... Medical Support Specialist- Claims Augusta, Maine | Community & Social Services...test and report review results. Desired skills include: 1. Prior experience working with an enterprise-level database. 2. Skilled… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …exposure to curtailments and/or fines. + Work with property preservation vendor, hazard claim vendor, claims outsourcing vendor, city officials, etc. to ensure ... to storage and maintain tracking information for each file. SUPERVISOR RESPONSIBILITIES: None MIMIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:...organization skills. + Math skills. + Minimum 2 years claims experience. + Prior PC experience to… more