Supervisor Claims

Providence • Anaheim, CA

1d

About The Position

Working under the direction of the Manager, Claims, this position is responsible for supervising staff and overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include reporting to ensure compliance with AB1455, attention to CMS guidelines, and adherence to department policies and procedures. Providence Medical Foundation describes its culture as patient-focused, whole-person care built on understanding, commitment, and mutual respect.

Requirements

• 3 years of experience in a leadership role within a medical claims-related field.
• 5 years of experience examining medical/institutional claims within a medical group/IPA setting, including claims processing experience.
• 2 years of experience in a medical/institutional claims customer services unit within a health plan, medical group, or IPA setting.

Nice To Haves

• Customer service experience within the health care industry.
• Access, Teleform, and IDX experience.

Responsibilities

• Supervise staff.
• Oversee the day-to-day operations of the Claims Processing and UM Denial Letter Units.
• Perform reporting functions to ensure compliance with AB1455.
• Attend to CMS guidelines and department policies and procedures.

Benefits

• Benefits designed to support employees and their families in staying well, growing professionally, and achieving financial security.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed