Talent.com
New York Licensed Medical Claims Supervisor
New York Licensed Medical Claims SupervisorVirtualVocations • Baton Rouge, Louisiana, United States
No longer accepting applications
New York Licensed Medical Claims Supervisor

New York Licensed Medical Claims Supervisor

VirtualVocations • Baton Rouge, Louisiana, United States
30+ days ago
Job type
  • Full-time
Job description

A company is looking for a Medical Claims Supervisor, Ops (Remote).

Key Responsibilities

Manage daily operations and employee workflow within the department

Train, mentor, and oversee staff performance, ensuring compliance with policies and procedures

Develop and implement workflow changes to enhance service and production efficiency

Required Qualifications

Minimum high school diploma with three years of related experience in healthcare or managed care

At least two years of experience in a leadership role

State licensure certification may be required within six months of hire

Knowledge of claims processing and provider billing practices

Familiarity with medical coding systems and data resources preferred

Create a job alert for this search

Supervisor New York • Baton Rouge, Louisiana, United States

Related jobs
New York Licensed Claims Specialist

New York Licensed Claims Specialist

VirtualVocations • Baton Rouge, Louisiana, United States
Full-time
A company is looking for a Claims Specialist - Commercial Auto.Key Responsibilities Serve as the main point of contact for inbound claims and provide timely resolutions Review claim documentatio...Show more
Last updated: 30+ days ago • Promoted
Medical Claims Processor

Medical Claims Processor

VirtualVocations • Baton Rouge, Louisiana, United States
Full-time
A company is looking for a Medical Claims Processor - Remote.Key Responsibilities Review data in the claim processing system and compare it with corresponding claim information Assess medical re...Show more
Last updated: 30+ days ago • Promoted
Maryland Licensed Clinical Supervisor

Maryland Licensed Clinical Supervisor

VirtualVocations • Baton Rouge, Louisiana, United States
Full-time
A company is looking for a Residency Clinical Supervisor to ensure high-quality care delivery and provider development in a remote setting. Key Responsibilities Provide supervision and guidance to...Show more
Last updated: 4 days ago • Promoted
Texas Licensed Professional Review Supervisor

Texas Licensed Professional Review Supervisor

VirtualVocations • Baton Rouge, Louisiana, United States
Full-time
A company is looking for a Professional Review Supervisor.Key Responsibilities Perform professional coding reviews of medical records and documentation Assist in processing claims based on state...Show more
Last updated: 5 days ago • Promoted
California Licensed Claims Supervisor

California Licensed Claims Supervisor

VirtualVocations • Baton Rouge, Louisiana, United States
Full-time
A company is looking for a Claims Supervisor for Workers Compensation.Key Responsibilities Lead and motivate a Workers Compensation claims team to ensure high-quality service Guide the team in h...Show more
Last updated: 30+ days ago • Promoted
Maryland Licensed Claims Adjuster

Maryland Licensed Claims Adjuster

VirtualVocations • Baton Rouge, Louisiana, United States
Full-time
A company is looking for a MD Claims Adjuster.Key Responsibilities Investigates and confirms facts of loss for automobile accidents, determining coverage, liability, and damages Collaborates wit...Show more
Last updated: 30+ days ago • Promoted
New York Licensed Claims Manager

New York Licensed Claims Manager

VirtualVocations • Baton Rouge, Louisiana, United States
Full-time
A company is looking for a Claims Manager, Workers Compensation for the North-East Region.Key Responsibilities Lead a team managing low to high complexity workers' compensation claims Build and ...Show more
Last updated: 30+ days ago • Promoted
Claims Supervisor with Adjusters License

Claims Supervisor with Adjusters License

VirtualVocations • Baton Rouge, Louisiana, United States
Full-time
A company is looking for a Claim Supervisor - REMOTE.Key Responsibilities Supervise adjusters and handle complex claims within the self-insured liability program Monitor staff performance, provi...Show more
Last updated: 4 days ago • Promoted
California Licensed Medical Billing Specialist

California Licensed Medical Billing Specialist

VirtualVocations • Baton Rouge, Louisiana, United States
Full-time
A company is looking for a Medical Billing Specialist.Key Responsibilities Manage billing and collections of outstanding account balances for various payors Identify and report payor issues to l...Show more
Last updated: 2 days ago • Promoted
California Licensed Claims Team Lead

California Licensed Claims Team Lead

VirtualVocations • Baton Rouge, Louisiana, United States
Full-time
A company is looking for a Claims Adjusting Team Lead.Key Responsibilities Manages and oversees performance of vendors and adjuster staff Oversees the negotiation of complex claim settlements an...Show more
Last updated: 6 days ago • Promoted
New York Licensed Behavioral Health RN

New York Licensed Behavioral Health RN

VirtualVocations • Baton Rouge, Louisiana, United States
Full-time
A company is looking for a Behavioral Health Clinical Case Manager RN - Telephonic - Remote in NY.Key Responsibilities Serve as primary care manager for members with complex medical / behavioral ne...Show more
Last updated: 6 days ago • Promoted
Colorado Licensed Claims Team Lead

Colorado Licensed Claims Team Lead

VirtualVocations • Baton Rouge, Louisiana, United States
Full-time
A company is looking for a Claims Team Lead - Liability.Key Responsibilities Supervise multiple teams of examiners and technical staff for liability claims Provide technical direction and monito...Show more
Last updated: 5 days ago • Promoted
Medical Claims Funding Specialist

Medical Claims Funding Specialist

VirtualVocations • Baton Rouge, Louisiana, United States
Full-time
A company is looking for a Medical Claims Funding Specialist.Key Responsibilities Prepare and submit funding requests to clients for claims incurred by covered members Facilitate payment transac...Show more
Last updated: 6 days ago • Promoted
State Licensed RN Medical Reviewer

State Licensed RN Medical Reviewer

VirtualVocations • Baton Rouge, Louisiana, United States
Full-time
A company is looking for a Remote RN - Medical Claims Reviewer.Key Responsibilities Review medically complex claims, pre-authorization requests, appeals, and fraud / abuse referrals Assess payment...Show more
Last updated: 9 hours ago • Promoted • New!
Connecticut Licensed Claims Examiner

Connecticut Licensed Claims Examiner

VirtualVocations • Baton Rouge, Louisiana, United States
Full-time
A company is looking for a Workers Compensation Claims Examiner for MA, CT, NH, and RI jurisdictions.Key Responsibilities Analyze and process claims to achieve timely resolutions through investig...Show more
Last updated: 3 days ago • Promoted
New York Licensed Clinical Supervisor

New York Licensed Clinical Supervisor

VirtualVocations • Baton Rouge, Louisiana, United States
Full-time
A company is looking for a Supervisor, Clinical Grievance and Appeals.Key Responsibilities Supervise nurses in the clinical Appeals and Grievance department, ensuring compliance with state / federa...Show more
Last updated: 3 days ago • Promoted
Arizona Licensed Clinical Supervisor

Arizona Licensed Clinical Supervisor

VirtualVocations • Baton Rouge, Louisiana, United States
Full-time
A company is looking for a Supervisor, Clinical Data Acquisition (Remote).Key Responsibilities Supervises staff involved in HEDIS performance measurement and quality reporting Implements and ove...Show more
Last updated: 2 days ago • Promoted
Minnesota Licensed Revenue Cycle Specialist

Minnesota Licensed Revenue Cycle Specialist

VirtualVocations • Baton Rouge, Louisiana, United States
Full-time
A company is looking for a Revenue Cycle Specialist (Biller).Key Responsibilities Review and resolve claims errors before submission for payment Manage denials and rejections, follow up with ins...Show more
Last updated: 4 days ago • Promoted