Medical Claims Supervisor II

7 days ago


Richfield, Idaho, United States Lifeworks Services Full time

**About Lifeworks Services**

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Lifeworks Services is a leading organization at the forefront of partnering with people with disabilities in innovative, person-centered ways. Our mission is to increase access in our communities and provide opportunities for people with disabilities to thrive.

**Job Summary**

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We are seeking a highly skilled Medical Claims Supervisor II to oversee our medical claims and Medicaid billing functions. The successful candidate will be responsible for supervising a team, ensuring compliance with GAAP, government contracts, and HIPAA regulations.

**Key Responsibilities**

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  • ">
  • Supervise and coordinate the day-to-day operations of the claims processing functions, including research and resolution of unpaid claims.">
  • Select, supervise, develop, motivate, and retain accounts receivable and billing staff.">
  • Analyze and research why specific customer accounts remain unpaid, working across program teams to resolve problematic claims.">
  • Validate claims data by conducting regular internal audits to ensure timely and accurate adjudication, processing, and payment of claims or claims adjustments.">

**Requirements**

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To be successful in this role, you will need:

  • ">
  • Strong analytical and problem-solving skills.">
  • Experience with medical claim management and medical billing software systems.">
  • Demonstrated leadership and staff development skills, with the ability to establish and cultivate strong relationships.">
  • Regular attendance, reliability, and punctuality.">
  • Well-organized with excellent attention to detail.">
  • Aptitude to work independently with excellent time management skills.">
  • Ability to understand and communicate written and verbal directions.">
  • Excellent communication and interpersonal skills.">

**What We Offer**

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We offer a comprehensive benefits package, including:

  • ">
  • 18 days of PTO accrued in the first year of employment.">
  • 11 paid holidays.">
  • Medical, dental, vision, life, AD&D insurance.">
  • Short & long-term disability coverage.">
  • Health Savings Account (HSA), Flexible Savings Account (FSA), and prescription drug coverage.">
  • Up to $3,000 annually in tuition reimbursement.">
  • 403(b) retirement plan.">
  • Employee Assistance Program (EAP).">

**Salary Range**

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The estimated salary for this position is $58,240-$62,400 per year, depending on experience.



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