- Kelsey-Seybold Clinic (Houston, TX)
- …tasks including development and coaching and other duties as assigned. **Job Title: Supervisor , Managed Care Claims ** **Location: Pearland Administrative ... **Responsibilities** Responsible for the supervision of Commercial claims adjudication. Essential job functions include ensure that...years of working experience in a Managed Care environment as Senior Analyst, Coordinator, OR Supervisor… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …Biller to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for ... accurate and timely filing of all managed care claims on their...any suspected resident financial abuse or billing fraud to supervisor immediately. QUALIFICATIONS/EXPERIENCE REQUIREMENTS + High School graduate or… more
- LA Care Health Plan (Los Angeles, CA)
- … claims audits or claims processing related to Medi-Cal, Cal MediConnect, and/or other managed care product lines similar to LA Care 's, LA Care ... Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location:...by medical groups and health plans contracted with LA Care . This role works closely with the Supervisor… more
- Intermountain Health (Columbus, OH)
- …of claims processing, claims logging, or customer service experience in a managed care environment. - and - Demonstrated minimum of 100 SPM on ten key ... **Job Description:** The Claims Examiner I is responsible for inbound calls...addition to completing reports and projects given by the supervisor . Effectively participates in meetings, training, and committees as… more
- Trinity Health (Farmington Hills, MI)
- …insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, ... Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, managed care contracts and coordination of benefits is highly… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Authorization Technician Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... Range: $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of… more
- Fair Haven Community Health Care (New Haven, CT)
- Fair Haven Community Health Care Medical Billing Account Receivable Supervisor Reporting to the Sr. Director of Operations, the Medical Billing Accounts ... Receivable Supervisor will be responsible for minimizing receivables while maximizing...payers. Ensure staff follow the process to work unpaid claims and backlogs (ie credentialing and carrier issues) are… more
- BronxCare Health System (Bronx, NY)
- …not limited to cancer screening, chronic disease management, and access to preventive care . Maintains familiarity with managed care quality organization ... sustain a multifaceted approach to patient outreach and education across Ambulatory Care . The Department Supervisor administers training and education to newly… more
- Mass Markets (Dallas, TX)
- …of your team. This is a management-level position. Prior experience in management, supervisor , or customer service leadership is required. To be considered for this ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- CVS Health (Olympia, WA)
- …+ Pharmacy technician certification highly preferred + Experience in pharmacy, managed care , Medicaid and/or Medicare organizations **Education** High School ... claims . **Required Qualifications** + 3 or more years' experience as successful claims biller/ supervisor experience preferably in a Fortune 500 company + Must… more
- Mass Markets (Las Cruces, NM)
- …questions and a brief pre-employment test. POSITION RESPONSIBILITIES WHAT DOES A SUPERVISOR DO EVERY DAY? Supervisors are responsible for the day-to-day activity and ... development of 15-20 Agents within a complex call center environment. The Sales Supervisor I position is responsible for ensuring call quality from start to finish… more
- Centene Corporation (Iselin, NJ)
- …marketing, customer service and/or claims processing/billing experience in a managed care environment. Supervisory or lead experience preferred. Knowledge of ... forms for accuracy + Assist in the resolution of claims payment and provider set-up issues + Coordinate and... managed care and state Medicaid program guidelines.... managed care and state Medicaid program guidelines. **For Fidelis … more
- Mass Markets (Las Cruces, NM)
- …of 15-25 representatives within a complex call center environment. The Customer Service Supervisor I position is responsible for ensuring call quality from start to ... improve the internal processes and sales results program-wide. Customer Service Supervisor II conduct regular business meetings with representatives to complete… more
- HomeSafe Alliance (Columbus, OH)
- **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... the coordinators handling the designated international activity + Liaise with Customer Care counter parts to ensure service excellence is rendered to the customers… more
- Westchester Jewish Community Services (White Plains, NY)
- …as Microsoft Word and Excel. + Comprehensive knowledge of Medicaid, Commercial and Managed Care billing and collections processes. + Excellent verbal and written ... Under the general supervision of the Revenue Accounting Manager, the A/R Supervisor is responsible for planning and implementing the daily, weekly, and monthly… more
- CareOregon (Portland, OR)
- …Skills and Abilities Required Knowledge + Knowledge of the basic concepts of managed care and ability to interpret contract language + Software engineering ... Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title IS Development Supervisor Exemption Status Exempt Department Business Intelligence Manager Title IS… more
- Health Advocates Network (Riverside, CA)
- …and Collections practices and laws + Must have Medicare Part A and B, Medi-Cal, Managed Care & Commercial billing and follow-up expertise + Must understand Excel ... Health Advocates Network is currently seeking a **Patient Access Supervisor ** to work at a facility in **Riverside ,...patient business services function in a hospital or health care agency may substitute for the required education, on… more
- CareFirst (Baltimore, MD)
- …Management or Case Management at CareFirst BlueCross BlueShield, or similar Managed Care organization or hospital Demonstrated leadership skills **Preferred ... **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor directs and coordinates the accurate implementation of...regarding medical facts and issues relating to appeals or claims payment. Acts as a liaison and collaborates with… more
- Centene Corporation (Oklahoma City, OK)
- …of network account management, provider contracting or billing experience in a managed care environment. Supervisory or lead experience preferred. Knowledge of ... for assigned projects + Assist in the resolution of claims payment and provider systems set-up issues + Coordinate... managed care and state Medicaid program guidelines.… more
- Mass Markets (OK)
- …a trusted partner in the industry. We are seeking a dedicated and dynamic Bilingual Supervisor to join our team. The ideal candidate will be fluent in both English ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more