Medical Financial Supervisor in Training
2 weeks ago
The Supervisor, Claims Processing – Medi-Cal provides daily oversight of claims staff, business processes and inventory management. Ensures the claims team follows state/federal regulations and standard operating procedures. Develops best practices to optimize claim processing quality. Resolve claim payment issues and quality oversight. Assist in hiring and training new team members in their job responsibilities. Monitors individual and team performance to ensure quality and performance objectives are met. Assist in employee performance evaluation, coaching and professional development activities to improve performance efficiency.
CalPERS retirement
Generous paid time off- vacation, holidays, sick
Medical Insurance with Dental and Vision
Short-term, and long-term disability options
Flexible Spending Account – Health Care/Childcare
Four (4) years medical claims processing experience, at least two (2) years of experience in a supervisory capacity leading a team.
Experienced in benefit and financial matrix interpretation.
Bachelor's degree from an accredited institution preferred.
A thorough understanding of claims industry and customer service standards. Knowledge in CMS, DHMC and DHCS regulatory guidelines including AB1455. Solid understanding of the DHCS, DMHC and CMS rules and regulations governing claims adjudication practices and procedures desired.
Principles and techniques of supervision and training.
Knowledge of medical terminology and understanding of healthcare claims.
Analytical skills with emphasis on time management, data base maintenance, spreadsheet manipulation, and problem solving.
Strong writing, organizational, project management, and communication skills proficiency required.
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Medical Financial Supervisor in Training
7 days ago
California, United States Inland Empire Health Plan Full timeThe Supervisor, Claims Processing – Medi-Cal provides daily oversight of claims staff, business processes and inventory management. Ensures the claims team follows state/federal regulations and standard operating procedures. Develops best practices to optimize claim processing quality. Resolve claim payment issues and quality oversight. Assist in hiring...
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Financial Systems Training Specialist
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Supervisor, Claims Processing
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California, United States Inland Empire Health Plans Full timeWhat you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! The Supervisor, Claims Processing – Medi-Cal provides daily oversight of claims staff, business processes and inventory management. Ensures the claims team...
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