- Liaises between claims staff and stakeholders, including providers, members, and internal Metro Plus Health staff.
- Participates in claims related workgroups designed to address claims issues and improve processes.
- Prepares routine reports for the manager on productivity, error rates, complaint rates, financial recordkeeping, and other activities.
- Identifies system processing issues and assist with the root cause analysis process.
- Develops, implements, and maintains claims operation policies, procedures and workflow.
- Assists with the planning, development, and training of claims operations staff.
- Provides input related to the development and performance of employees to Manager.
- Manages daily inventory queues and assigns resources to ensure inventory is processed timely and accurately.
- Monitors daily inventory and assigned claims queues for production and issue identification.
- Generates claims operations dashboard and reports related to inventory and productivity.
- Participates in special projects as needed.
- Other duties as assigned.
- High School Diploma and minimum 7 years of claims operations experience in a healthcare field required; or
- Associate's degree and minimum 5 years of claims operations experience in a healthcare field; or
- Bachelor's degree and minimum 3 years of claims operations experience in a healthcare field.
- Knowledge of claims payment methodologies and policies.
- Knowledge of CMS Regulations
- Proficient in reporting applications, such as Excel, Access or SQL preferred.
- Integrity and Trust
- Customer Focus
- Functional/Technical skills
- Written/Oral Communication
- Ability to work in a dynamic and fast paced environment.
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supervisor, patient accounting specialty claims and accounts receivable
Only for registered members
The Supervisor of Patient Accounting Specialty Claims & Accounts Receivable at Hackensack Meridian Health (HMH) is responsible for overseeing the full spectrum of billing operations and third-party account follow-up across all facilities within the HMH network.Monitor daily pre-b ...
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Supervisor, Patient Accounting Specialty Claims and Accounts Receivable
Only for registered members
The Supervisor of Patient Accounting Specialty Claims & Accounts Receivable oversees billing operations, third-party account follow-up across all facilities in the HMH network. · ...
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- Work in company
Supervisor, Patient Accounting Specialty Claims and Accounts Receivable
Only for registered members
The Supervisor of Patient Accounting Specialty Claims & Accounts Receivable at Hackensack Meridian Health is responsible for overseeing the full spectrum of billing operations and third-party account follow-up across all facilities within the HMH network. · Monitor daily pre-bill ...
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supervisor, patient accounting specialty claims and accounts receivable
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Claims Supervisor - New York - MetroPlusHealth
Description
Position OverviewThe Claims Supervisor is responsible for the daily oversight of Medicare claims processes including but not limited to the inquiry and resolution process, adjudication process, user acceptance testing and quality assurance, training, and reporting. In addition, the position assists the Claims Manager with claims related queue management (i.e., claims, inquiries, refunds, adjudications) to ensure that inventory is processed accurately and in a timely manner. The Claims Supervisor will also provide daily management and oversite of the Claims Operation staff.
Scope of Role & Responsibilities
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Claims Supervisor
Only for registered members New York
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Claims Supervisor
Only for registered members New York, NY
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Claims Supervisor
Only for registered members New York, NY
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Claims Supervisor
Only for registered members New Jersey
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Claims Supervisor
Only for registered members Farmingdale
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Claims Supervisor, PIP
Full time Only for registered members Woodbridge Township
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Claims Supervisor, PIP
Only for registered members Woodbridge, NJ
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Supervisor, Patient Accounting Specialty Claims and Accounts Receivable
Only for registered members Hackensack
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supervisor, patient accounting specialty claims and accounts receivable
Only for registered members Hackensack
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Supervisor, Patient Accounting Specialty Claims and Accounts Receivable
Full time Only for registered members Hackensack
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Supervisor, Patient Accounting Specialty Claims and Accounts Receivable
Only for registered members Hackensack, NJ
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supervisor, patient accounting specialty claims and accounts receivable
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Senior Manager, Medical Claims
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Billing Coordinator
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Revenue Cycle Specialist 1
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Billing Associate
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Insurance Claims Resolution Specialist (1099)
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Copy Supervisor
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Senior Manager, Medical Claims
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Claims Manager
Only for registered members New York