Top 13141 Claim supervisor Jobs

Supervisor (Clinical Adjudication) (Part C)
TMF Health Quality Institute —Remote
- Weekends as needed
- Remote
- Nursing
- Writing skills
- Supervising experience
- AD&D insurance
- Disability insurance
Supervisor Claims
Mutual of Omaha —Remote
- $75,500 - $97,000 a year
- Email
- Remote
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
- Paid holidays
- 401(k)
Supervisor (Clinical Adjudication) Weekday Evening Shift - Flexible Scheduling (Part C)
TMF Health Quality Institute —Remote
- Full-time
- Nursing
- Writing skills
- Supervising experience
- AD&D insurance
- Disability insurance
Insurance Claims Manager
Whiteboard Risk & Insurance Solutions —Remote
- $55,000 - $65,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Basic math
- Health insurance
- Paid time off
Quick Apply
Customer Service Supervisor
Luminare Health —Remote
- $42,200 - $79,300 a year
- Full-time
- Remote
- Spanish
- English
- Research
- Paid parental leave
- Paid holidays
Training Manager
Sagility —Remote
- Remote
- 6 years
- Bachelor of Science
- Writing skills
Revenue Cycle Supervisor
University of Colorado Medicine —Remote
- $75,000 a year
- Full-time
- Remote
- 5 years
- Word processing
- High school diploma or GED
- Health insurance
Case Manager
Jacoby & Meyers —Remote
- $22 - $26 an hour
- Full-time
- Remote
- Spanish
- 1 year
- Communication skills
- AD&D insurance
- Paid holidays
Quick Apply
Medical Billing Manager
iMedX, a Rapid Care Group company —Remote
- Remote
- Mid-level
- 3 years
- Analysis skills
Quick Apply
Call Center Supervisor- Remote
Patient Accounting Service Center, LLC —Manitowoc, WI
- From $50,000 a year
- Full-time
- Remote
- Computer literacy
- HIPAA
- Mid-level
- AD&D insurance
- Disability insurance
Quick Apply
AR Supervisor
Zotec Partners —Remote
- Full-time
- Remote
- Mid-level
- Mentoring
- Organizational skills
Quick Apply
Supervisor IT - Epic Hospital Billing and Claims
UCHealth —Aurora, CO
- $48.56 - $72.84 an hour
- Full-time
- Remote
- Hospital
- 5 years
- Mid-level
- 403(b) matching
- Health savings account
Case Manager Assistant
Jacoby & Meyers —Remote
- $20 - $24 an hour
- Full-time
- Remote
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
Clinical Adjudication Manager (Weekday Evening Shift + Flexible Scheduling (Part Time or Full Time) (Part C)
TMF Health Quality Institute —Remote
- Full-time
- Nursing
- Supervising experience
- Team management
- AD&D insurance
- Disability insurance
Home Health Billing Manager
Home Health Care, Inc. —Remote
- $48,667.94 - $58,610.86 a year
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- Continuous improvement
Quick Apply
6d
Fractional Customer Service (Claims) Manager
Silva-Lining HR —Remote
- Part-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Purchasing Manager
Munch's Supply —Remote
- Full-time
- Remote
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Paid holidays
Quick Apply
Implementation Manager
Synapse Health —Remote
- $75,200 - $94,000 a year
- Remote
- 3 years
- Bachelor's degree
- Senior level
- Disability insurance
- Health insurance
Quick Apply
Appeals Supervisor
TeamHealth —Remote
- Overtime
- Remote
- Mid-level
- Travel
- Recruiting
Manager, Property Management
Ross Stores —Remote
- $93,600 - $146,050 a year
- Remote
- 5 years
- Office
- Bachelor's degree

I want to receive the latest job alert for claim supervisor

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Supervisor (Clinical Adjudication) (Part C)

TMF Health Quality Institute -
Remote

Apply Now

Job Details

Full-time

Benefits

License reimbursement
AD&D insurance
Disability insurance
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Vision insurance
Life insurance

Qualifications

Team supervision
Writing skills

Full Job Description

Category: Program Management

Requisition Number: SUPER001389

Posting Details

- Posted: June 5, 2026
Full-Time
Locations

Remote, Anywhere USA

Job Details

Description

**Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications. Your experience should also address the knowledge, skills and abilities needed for the role. Incomplete applications will not be considered.**

*This position is located Remote United States*

*This position requires working weekends, and rotating holidays as needed*

Position Purpose:

Provides dissatisfied patient/beneficiaries and/or providers the opportunity to present documentation to demonstrate why an appeal/dispute should be allowed. Provides an independent second level determination/dispute resolution based on the documentation, facts, laws, regulations, and guidelines.

Essential Responsibilities:

Oversees and participates in formal pre-decisional appellant/requestor/provider discussions for the purpose of allowing the appellant/requestor/provider to be heard and submit additional documentation; or, engages the parties in other types of communication in order to obtain information and a more complete understanding of the appeal/dispute issues.
Oversees and reviews medical records/case file, writes a reconsideration that is clear, concise, and impartial and supports the determination made, and documents review.
Oversees and makes sound, independent decisions based on medical evidence in accordance with statutes, regulation, rulings, and policy.
Oversees, responds to and ensures that all appeal issues raised by the beneficiary/patient, representative, and provider/supplier have been addressed.

Minimum Qualifications

Education

Associate's degree or 60 or more credit hours towards a Bachelor’s degree from an accredited college or university in healthcare or related discipline
- Additional experience in Medicare appeals, medical review, clinical, or other related experience in a healthcare setting may be substituted for Associate’s degree on a year per year basis. (Experience requirements may be satisfied by full-time experience or the prorated part-time equivalent.)

Experience

Five (5) years conducting or overseeing Medicare appeals, medical review, or utilization management of Medicare claims.

Supervisory or Team Lead

Healthcare Professional with demonstrated experience writing, making, or overseeing Medicare related medical necessity decisions
Nursing, Physical Therapy, Respiratory Therapy or Occupational Therapy experience
Conducting or overseeing Medicare Part C related appeals activities, preferred

Benefits

C2C offers an excellent benefits package, including:

Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance
Section 125 plan
401K
Competitive salary
License/credentials reimbursement
Tuition Reimbursement

EOE Vet/Disability

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Apply Now

Refine Your Search

claim supervisor jobs

Supervisor (Clinical Adjudication) (Part C)

Supervisor Claims

Supervisor (Clinical Adjudication) Weekday Evening Shift - Flexible Scheduling (Part C)

Insurance Claims Manager

Customer Service Supervisor

Training Manager

Revenue Cycle Supervisor

Case Manager

Medical Billing Manager

Call Center Supervisor- Remote

AR Supervisor

Supervisor IT - Epic Hospital Billing and Claims

Case Manager Assistant

Clinical Adjudication Manager (Weekday Evening Shift + Flexible Scheduling (Part Time or Full Time) (Part C)

Home Health Billing Manager

Fractional Customer Service (Claims) Manager

Purchasing Manager

Implementation Manager

Appeals Supervisor

Manager, Property Management

I want to receive the latest job alert for claim supervisor

Related Searches

Explore jobs in more locations

Posting Details

Locations

Job Details

Description

Job Seeker Tools

Employer Tools

Browse

Stay Connected