Supervisor Claims - Los Angeles, United States - PROVIDENCE, INC.

PROVIDENCE, INC. Los Angeles, United States

1 week ago

Description

Working under the direction of the Manager, Claims, this position has direct responsible for the supervision of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units.

Additional responsibilities include reporting functions to ensure compliance with AB1455, attention to CMS guidelines and department policy and procedures.
Providence caregivers are not simply valued – they're invaluable.

Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect.

Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:
3 years Experience in a leadership role within medical claims related field.

5 years Experience in medical/institutional claims examining within a medical group/IPA setting claim processing experience.

2 years Experience in a medical/institutional claims customer services unit within a health plan medical group or IPA setting.

Preferred Qualifications:
Customer service experience within the Health Care Industry.

Access, Teleform and IDX experience.

Why Join Providence?
Our

best-in-class benefits

are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our

Mission

of caring for everyone, especially the most vulnerable in our communities.
About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others.

We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected.

Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our

benefits page

for more information about our Benefits and Rewards.
About the Team

Providence Physician Enterprise (PE) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care.

Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.

PE is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington's greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence's St.

John's Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.

Providence is proud to be an

Equal Opportunity Employer .

We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

We believe

diversity

makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID:

278681

Company:
Providence Jobs

Job Category:
Claims

Job Function:
Revenue Cycle

Job Schedule:
Full time

Job Shift:
Day

Career Track:
Leadership

Department:

7520 CLAIMS PROCESSING CA HERITAGE SERVICES

Address:
CA Mission Hills 11165 N Sepulveda Blvd

Work Location:
Facey Sepulveda Annex-Mission Hills

Pay Range:
$ $57.69

Check out our

benefits page

for more information about our Benefits and Rewards.

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