Claims Supervisor

3 weeks ago


Bakersfield, California, United States CommonSpirit Health Full time
Job Summary

We are seeking a highly skilled Claims Supervisor to join our team at CommonSpirit Health. As a Claims Supervisor, you will be responsible for overseeing the Claims Examination team and ensuring the accurate and timely processing of claims.

Key Responsibilities
  • Assist the Claims Manager in supervising and supporting the Claims Examination team.
  • Provide analysis of daily claims compliance reports and prioritize or re-prioritize work in progress based on findings.
  • Supervise several Claims Examiners and provide guidance and feedback as needed.
Requirements
  • Minimum 5 years of experience in claims examination in a healthcare or managed care environment.
  • 2+ years of supervisory experience in a business office or healthcare environment.
  • High School Diploma or equivalent required.
  • Current CA Driver's License and clean DMV record required.
  • Proficient in Microsoft Office applications, including Excel, Word, Access, Outlook, PowerPoint, and Project.
  • Strong knowledge of CPT and ICD9/ICD10 coding, as well as Medicare payment systems.
  • Ability to make priority decisions based on staffing levels, claims volumes, and report analysis.
  • Ability to interpret and communicate complex contract or benefit language.
  • Strong problem-solving abilities and ability to work collaboratively with internal departments and external organizations.
What We Offer

CommonSpirit Health offers a comprehensive Total Rewards package that includes competitive pay, a state-of-the-art flexible Health & Welfare benefits package, and a 401(k) retirement plan with a generous employer match.



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