- Supervise the day-to-day workload of the BH Claims Unit including assignment of tasks
- Identify issues and problems with claims submissions.
- Identify system processing issues.
- Process complex, difficult, and non-routine claims for multiple lines of business.
- Ensure that training manuals are current, and that policies and procedures are followed correctly
- Plan, develop, and conduct training programs for staff
- Provide input to the ASP Manager related to the development and performance of employees
- Participate in special projects as required.
- Represent the BH Claims Unit in the absence of the ASP Manager
- Bachelor's Degree required.
- Minimum of two (2) years' experience in HMO claims processing; or
- A satisfactory equivalent combination of education, training, and experience.
- Well versed in all the duties and responsibilities of the Claims Examiner position including data entry and system adjudication of BH claims
- Knowledge of Medicaid policies, as well as enrollment policies procedures.
- Integrity and Trust
- Customer Focus
- Functional/Technical skills
- Excellent verbal and written skills
- Must be able to work in a professional manner with employees, management, and providers
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Claims Supervisor
4 weeks ago
Only for registered members New YorkThe 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.Liaises between claims staff and ...
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Claims Supervisor
4 weeks ago
Only for registered members New York, NYThe 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. · Liaises between claims staff and stakeholders · Prepar ...
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Claims Supervisor
2 weeks ago
Only for registered members New JerseyThis position is posted by Jobgether on behalf of a partner company. We are currently looking for a Remote Claims Manager. · Supervise and manage the day-to-day operations of the claims team and outsourced vendor staff. · Ensure successful achievement of quality, production, and ...
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Claims Supervisor
6 days ago
Only for registered members Farmingdale $100,000 - $130,000 (USD)Network Adjusters is seeking an experienced Commercial Lines Property Claims Supervisor to join our third-party administrative insurance handling team. · ...
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Claims Supervisor
4 days ago
Network Adjusters, Inc. Farmingdale+We are seeking an experienced Commercial Lines Property Claims Supervisor to join our third-party administrative insurance handling team. · +Supervise and manage a team of claims adjusters, providing guidance, training, and ongoing support to drive performance and professional d ...
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Claims Supervisor, Operations
1 month ago
Only for registered members Woodbridge $73,000 - $103,500 (USD)The Claims Supervisor Operations will oversee a unit of operations associates in the Woodbridge and Mount Laurel claim departments.The unit handles a variety of claim related functions including but not limited to data entry rental claim handling salvage processing subrogation as ...
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Worker's Compensation Claims Supervisor
2 days ago
Only for registered members Rockland County, NYThe Workers' Compensation Claims Supervisor oversees a team of claims adjusters responsible for managing workers' · compensation claims. · Supervise daily activities of assigned workers' compensation claims adjusters. · Triage new files to ensure assignments are appropriate. · ...
- Only for registered members Hackensack Full time
The Supervisor of Patient Accounting Specialty Claims & Accounts Receivable oversees billing operations, third-party account follow-up across all facilities in the HMH network. · ...
- Only for registered members Hackensack
+ Supervisor Patient Accounting Specialty Claims Accounts Receivable + · The supervisor of patient accounting specialty claims & accounts receivable at Hackensack Meridian Health (HMH) oversees billing operations and third-party account follow-up across all facilities within the ...
- Only for registered members Hackensack, NJ
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 ...
- Only for registered members Hackensack, NJ
+The Supervisor of Patient Accounting Specialty Claims & Accounts Receivable at Hackensack Meridian Health (HMH) oversees billing operations and third-party account follow-up across all facilities within the HMH network. · +Monitor daily pre-billing, billing and follow up operati ...
- Only for registered members Hackensack
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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Billing Coordinator
1 week ago
Only for registered members New York, NY, United StatesThis is a position as Billing Coordinator with responsibilities such as following up on submitted claims and ensuring that collections targets are met. · Follows up on submitted claims, monitors unpaid claims and resubmits claims with appropriate corrections and documentation. · ...
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Senior Manager, Medical Claims
1 month ago
Only for registered members New YorkThe Senior Manager, Medical Claims will oversee the medical claims department, ensuring operating standards are met and implementing operational objectives. · ...
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Revenue Cycle Specialist 1
2 days ago
Only for registered members New York, , United StatesMonitor and analyze claim files and paper claims sent to Commercial, Medicare and Medicaid. · Monitor and Analyze claim files and paper claims sent to Commercial, Medicare and Medicaid · ...
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Billing Associate
1 week ago
Only for registered members New York, NYThe Floating Hospital welcomes individuals of all ages to provide unrestricted healthcare. A Billing Associate will receive electronic coded claims, review accounts receivable reports, contact supervisors to escalate issues, · - Receives electronic coded claims for all Medical an ...
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Copy Supervisor
1 month ago
Only for registered members New York $105,000 - $125,000 (USD)The Bloc is in search of a Copy Supervisor with healthcare advertising/healthcare writing experience (both HCP and Consumer experience preferred), who is able to work through projects from inception to completion. · ...
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Senior Manager, Medical Claims
1 month ago
Only for registered members New York, NYMeasure individual, system and performance of the Medical Claims Departments; ensure operating standards are met and implement operational objective of the department. · ...
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Claims Representative
2 days ago
Only for registered members New York $114,000 - $157,500 (USD)We commit world-class resources to patient care with amazing results and now you can help make it possible. · In this role, you will be responsible for a best practice level of investigation and management of complex healthcare-related professional liability and general liability ...
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Claims Manager
1 month ago
Only for registered members New YorkThis position is posted by Jobgether on behalf of a partner company. We are currently looking for a Claims Supervisor - REMOTE. · Oversight of teams responsible for handling claims efficiently while ensuring adherence to quality standards and enhancing customer service. · ...
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Property Field Claims Representative
1 month ago
Only for registered members New York+Countryway is seeking a customer-focused Property Field Claims Representative to join our claims team in New York. · +Investigate all losses assigned. · Comply with company policies and procedures in the handling of all losses and other company matters. · Evaluate and Estimate c ...
Behavioral Health Claims Supervisor - New York - MetroPlusHealth
Description
Position Overview
The BH Claims Supervisor will oversee personnel involved in the adjudication of behavioral health-related medical claims. This position will provide support to the ASP Manager and other MetroPlusHealth employees regarding the adjudication of complex, difficult, and non-routine claims for multiple lines of business. The incumbent will coordinate with the ASP Manager to ensure the BH Claims team is able to meet expectations for the timely and accurate adjudication of claims.
Scope of Role & Responsibilities
Required Education, Training & Professional Experience
Professional Competencies
#LI-Hybrid
#MHP50
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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 Jersey
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Claims Supervisor
Only for registered members Farmingdale
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Claims Supervisor
Network Adjusters, Inc.- Farmingdale
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Claims Supervisor, Operations
Only for registered members Woodbridge
-
Worker's Compensation Claims Supervisor
Only for registered members Rockland County, NY
-
Supervisor, Patient Accounting Specialty Claims and Accounts Receivable
Full time Only for registered members Hackensack
-
Supervisor, Patient Accounting Specialty Claims and Accounts Receivable
Only for registered members Hackensack
-
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
Only for registered members Hackensack, NJ
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supervisor, patient accounting specialty claims and accounts receivable
Only for registered members Hackensack
-
Billing Coordinator
Only for registered members New York, NY, United States
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Senior Manager, Medical Claims
Only for registered members New York
-
Revenue Cycle Specialist 1
Only for registered members New York, , United States
-
Billing Associate
Only for registered members New York, NY
-
Copy Supervisor
Only for registered members New York
-
Senior Manager, Medical Claims
Only for registered members New York, NY
-
Claims Representative
Only for registered members New York
-
Claims Manager
Only for registered members New York
-
Property Field Claims Representative
Only for registered members New York