Claims Audit Team Supervisor

2 weeks ago


Fort Worth, Texas, United States CERIS Health Full time

Claims Audit Team Supervisor

The Claims Audit Team Supervisor is responsible for overseeing the evaluation and tracking of claims audit data across various systems. This role entails managing and prioritizing team assignments to ensure the effective handling of internal and external inquiries, quality assessments, and claims management. The Supervisor aims to minimize response times, proactively tackle issues, and enhance departmental operations to improve service delivery.

This position is available for remote work.

Key Responsibilities:

  • Oversee team performance, establish standards, and provide constructive feedback
  • Assist in gathering complex data from financial, clinical, and operational sources
  • Process claims in accordance with provider agreements
  • Resolve customer complaints and inquiries effectively
  • Monitor account details and workflow processes for potential enhancements
  • Analyze Revenue Cycle transactions and deliver trend reports
  • Generate evaluative reports and assess variances
  • Ensure client data integrity and support Product and Account Management teams
  • Lead initiatives as directed by management
  • Address escalated requests and assist with research assignments
  • Maintain confidentiality of medical records and sensitive data
Qualifications:
  • 5+ years of experience in the healthcare or insurance sector
  • 3+ years of supervisory or management experience is advantageous
  • Familiarity with CMS guidelines and ICD-10 coding
  • Strong analytical, problem-solving, and interpersonal abilities
Compensation:
CERIS Health offers competitive compensation based on location and experience level.

About CERIS Health

CERIS Health, a division of CorVel Corporation, is committed to precision and transparency in healthcare payments. Join a team that prioritizes Accountability, Commitment, Excellence, Integrity, and Teamwork. We provide a comprehensive benefits package and opportunities for professional growth.

CorVel is an Equal Opportunity Employer and maintains a drug-free workplace.


  • Fort Worth, Texas, United States CorVel Healthcare Corporation Full time

    Position OverviewThe Claims Audit Supervisor is tasked with leading the evaluation and oversight of claims audit metrics across various platforms. This role involves managing team assignments to guarantee prompt and precise handling of requests and claims. The Supervisor aims to minimize response durations and proactively enhance departmental operations to...

  • Claims Supervisor

    1 month ago


    Fort Worth, Texas, United States DPDHL Full time

    Claims Supervisor Transportation is a pillar for any supply chain, and at DHL Supply Chain you are a part of everyday life; because a storm or the breakdown of a truck shouldn't stop our customer's products from getting to the consumer when they need them the most. Working in transportation, you will be a part of our business. All members of our...


  • Fort Worth, Texas, United States CorVel Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Hospital Bill Audit Nurse to join our team at CorVel. As a Clinical Claims Auditor, you will be responsible for conducting thorough reviews of hospital bills to ensure accuracy and compliance with industry guidelines.Key ResponsibilitiesConduct audits of hospital bills to identify overcharges,...


  • Fort Worth, Texas, United States CorVel Healthcare Corporation Full time

    Job SummaryWe are seeking a highly skilled Recovery Operations Manager to oversee the analysis and monitoring of claims audit data across multiple platforms. The ideal candidate will manage staff work assignments to ensure timely and accurate processing of requests and claims, reducing response timeframes and proactively improving department activities to...

  • Claims Analyst

    1 week ago


    Fort Worth, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Claims Processor/Revenue Cycle Analyst. Position Summary: The Claims Processor is tasked with the analysis and oversight of claims audit data across various systems. This role involves performing follow-up activities to ensure the precision...


  • Fort Worth, Texas, United States CorVel Healthcare Corporation Full time

    Job Description**Job Summary:**We are seeking a highly skilled Clinical Review Supervisor to join our team at CorVel Healthcare Corporation. As a Clinical Review Supervisor, you will be responsible for overseeing the daily activities of our DRG Clinical Auditors and ensuring the accuracy and integrity of diagnosis and procedure codes.Key...


  • Fort Worth, Texas, United States CorVel Corporation Full time

    Job Summary:We are seeking a highly skilled Medical Claims Analyst to join our team at CorVel Corporation. As a Medical Claims Analyst, you will be responsible for receiving and processing medical claims with accuracy and efficiency.Key Responsibilities:Ensure that medical claims are eligible for review and processingOrganize and prioritize claims for timely...


  • Fort Worth, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Claims Processor/Revenue Cycle Analyst. Position Summary: The Claims Processor is tasked with the analysis and oversight of claims audit data across various systems. This role involves conducting follow-up activities to ensure the precision...


  • Fort Worth, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Claims Processor/Revenue Cycle Analyst. Position Summary: The Claims Processor will play a crucial role in the analysis and oversight of claims audit data across various systems. This position involves performing follow-up activities to...


  • Fort Worth, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Claims Processor/Revenue Cycle Analyst. Position Summary: The Claims Processor is tasked with the analysis and oversight of claims audit data across various systems. This role involves executing follow-up activities to guarantee the accuracy...


  • Fort Worth, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Claims Processor/Revenue Cycle Analyst. Position Summary: The Claims Processor will play a crucial role in the analysis and oversight of claims audit data across various systems. This position involves executing follow-up tasks to guarantee...


  • Fort Worth, Texas, United States CornerStone Staffing Full time

    Company Overview: CornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Claims Processor/Revenue Cycle Analyst. Position Summary: The Revenue Cycle Analyst plays a crucial role in analyzing and overseeing claims audit data across various systems. This position involves executing follow-up tasks to guarantee the...


  • Fort Worth, Texas, United States CornerStone Staffing Full time

    Job OverviewCornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Healthcare Claims Analyst.We are seeking candidates with a solid background in hospital claims processing and manual data entry. Position Details:Location: Remote after initial trainingJob ID: 146836Employment Type: Direct HireCompensation:...


  • Fort Worth, Texas, United States CorVel Corporation Full time

    Job SummaryThe Clinical Review Supervisor is a key member of our team at CorVel Corporation, responsible for overseeing the daily activities of our DRG Clinical Auditors. This role requires a strong understanding of ICD-10-CM and PCS codes, as well as DRG coding and payer rules and regulations.Key ResponsibilitiesSupervise and manage the work of DRG Clinical...


  • Fort Worth, Texas, United States CorVel Healthcare Corporation Full time

    Position SummaryThe Procurement Operations Supervisor plays a crucial role in managing the procurement processes and providing essential support to the direct supervisor. This position demands a combination of practical involvement and leadership within the office setting.Primary Duties:Oversee and analyze Aging Reports related to Procurement and...


  • Fort Worth, Texas, United States CorVel Healthcare Corporation Full time

    Position SummaryThe Procurement Operations Supervisor plays a crucial role in managing the procurement process while providing essential support to the direct supervisor. This position requires a combination of practical involvement and leadership within the office setting.Primary Responsibilities:Oversee and analyze Aging Reports related to Procurement and...


  • Fort Worth, Texas, United States CorVel Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Hospital Bill Audit Nurse to join our team at CorVel. As a Clinical Claims Auditor, you will be responsible for conducting thorough reviews of hospital bills to ensure accuracy and compliance with industry guidelines.Key ResponsibilitiesConduct audits of hospital bills to identify overcharges,...


  • Fort Worth, Texas, United States CorVel Corporation Full time

    Procurement Team Lead Job DescriptionThe Procurement Team Lead position is responsible for overseeing a team to ensure compliance with regulatory protocols and efficient claim processing. This role involves both hands-on production work and providing support to the direct supervisor when needed.Key Responsibilities:Monitor and report on Aging Reports for...


  • Fort Worth, Texas, United States The Bank of America Corporation Full time

    About UsAt Bank of America, we are driven by a shared mission to enhance financial well-being through meaningful connections.Role OverviewThe Senior Claims Analyst plays a crucial role in our organization, focusing on the following responsibilities:Client Support: Provide exceptional assistance to clients regarding claims inquiries.Analytical Expertise:...


  • Fort Worth, Texas, United States CorVel Healthcare Corporation Full time

    Professional Review SupervisorThe Professional Review Supervisor plays a crucial role in conducting thorough evaluations of medical documentation to ensure accurate application of the Fee Schedule and adherence to relevant coding standards. This position requires expertise in various review methodologies tailored to the specific regulations of each state...