Top 138 Claims supervisor Jobs in Columbus

Manager, Business Office
SUN Behavioral Columbus —Columbus, OH
- Full-time
- 5 years
- Writing skills
- Mid-level
Senior Project Manager - Diverse Commercial Construction
Michael Page —Columbus, OH
- $130,000 - $160,000 a year
- Construction site
- Office
- Presentation skills
- Profit sharing
- Fuel card
1d
Assistant Branch Manager - Sales Manager Trainee
Republic Finance, LLC —Groveport, OH
- $45,000 a year
- Full-time
- Pass drug screening
- Office
- Windows
- Paid training
- Paid holidays
14d
Sr. Client Manager - Employee Benefits
Gallagher Benefit Services —Dublin, OH
- $65,500 - $127,500 a year
- Full-time
- High school diploma or GED
- Supervising experience
- Bachelor's degree
- Paid parental leave
- Health savings account
Billing & Collections Manager (BOM)
Violet Springs Health Campus —Pickerington, OH
- From $30 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Long term care
- Paid parental leave
- Health savings account
Billing & Collections Manager (BOM)
Taylor Springs Health Campus —Gahanna, OH
- From $30 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Long term care
- Paid parental leave
- Health savings account
Client Service Supervisor
Gallagher —Upper Arlington, OH
- $73,500 - $123,000 a year
- Full-time
- Hybrid work
- High school diploma or GED
- Supervising experience
- Bachelor's degree
- Paid parental leave
- Health savings account
Inbound and Inventory Control Manager
Metro Supply Chain Holdings USA Inc —Columbus, OH
- $80,000 - $85,000 a year
- Full-time
- Background check
- Microsoft Excel
- Pass drug screening
- Disability insurance
- Health insurance
Quick Apply
Auto Damage Claims Manager
Central Insurance Company —Dublin, OH
- Full-time
- Hybrid work
- 6 years
- Writing skills
- Analysis skills
- Health insurance
14d
Anti-Fraud Manager
Central Insurance Company —Dublin, OH
- Full-time
- Hybrid work
- US work authorization
- Senior level
- 2 years
- Health insurance
Field Reimbursement Manager - US Central
Inspire Medical Systems Inc. —Columbus, OH
- $160,000 - $190,000 a year
- Remote
- 7 years
- Mid-level
- Bachelor's degree
- Health savings account
- Employee stock purchase plan
Quick Apply
Travel Manager
Anduril Industries —Ashville, OH
- $87,000 - $116,000 a year
- Email
- Mid-level
- Office
- Microsoft Office
Quick Apply
Homecare - Revenue Cycle Manager – Remote
PurposeCare —Columbus, OH
- $80,000 - $95,000 a year
- On call
- Travel
- Home Health
- Organizational skills
Quick Apply
OhioRISE CME Care Coordinator Supervisor I
THE VILLAGE NETWORK —Columbus, OH
- Full-time
- Experience working with individuals with developmental disabilities
- Computer literacy
- HIPAA
- Paid holidays
- Paid time off
Customer Care Manager II
Pulte Homes of Ohio LLC —Dublin, OH
- Full-time
- Construction site
- Computer literacy
- Mid-level
6d
PBM Client Experience Manager
CVS Health —Columbus, OH
- $46,988 - $122,400 a year
- Full-time
- 5 years
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Dental insurance
2d
Business Office Manager
Convalarium Care Center —Dublin, OH
- $65,000 a year
- Full-time
- Employment & labor law
- Mid-level
- Office
- Loan repayment program
- Health insurance
Quick Apply
8d
Customer Care Manager - State Farm Agent Team Member
Nick Cone - State Farm Agent —Pickerington, OH
- $50,000 - $70,000 a year
- Full-time
- Mid-level
- Office
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
Manager, Non-Revenue Fleet & Process Auditing
Central Ohio Transit Authority —Columbus, OH
- $88,129.60 - $103,688.00 a year
- Full-time
- CDL B
- ASE Certification
- Contracts
- Commuter assistance
- Paid parental leave
Quick Apply
3d
Manager, AI Service Operations Transformation PMO
CVS Health —New Albany, OH
- $54,300 - $159,120 a year
- Full-time
- 5 years
- Master's degree
- Bachelor's degree
- Health insurance
- Dental insurance
13d

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claims supervisor jobs near columbus

Manager, Business Office

SUN Behavioral Columbus -
Columbus, OH

Apply Now

Job Details

Full-time

Qualifications

Health insurance policy knowledge
Medical terminology

Full Job Description

Position Summary:

The Business Office Manager reports to the CFO and is responsible for financial data integrity and quality assurance. The goal of this position is to ensure high quality service for accuracy of information.

Position Responsibilities:

Clinical / Technical Skills (40% of performance review)

Daily Census Reconciliation: Running reports, balancing census and resolving error/variances to completion
Outpatient charge entry-understanding contractual setup or relevant charge data, ensuring all outpatient charges fall within insurance guidelines/requirements and enter them into WellSky
Monitors physician charges and resolve discrepancies timely
Ensures patients that are underinsured and unfunded are connected to available resources and/or verify financial status, if meets SUN charity guidelines request and post charity adjustments post discharge
Ensure single case agreements on OON payors have been initiated/completed and enter payment rate in WellSky to ensure claim drops appropriately.
Ensures patients are properly admitted to the correct type of room; communicates inaccuracies to CFO, Intake and UM
Verifies patients that are denied have been identified on the denial log. Update expected denied days and expected denied dollars
Prepares denial log for AR meeting and EOM, works closely with UM to ensure data is accurate
Audit/completes upfront collection log for usage, accuracy, and collection efforts weekly with additional review/completion by month end
Audit admissions and communicates findings pertaining to insurance verification, financial counseling, and demographic accuracy
Processes incoming mail in a timely manner according to established procedures
Processes Business Office email timely and efficiently.
Offers guidance to employees related to Point-of-Service collective activity
Effectively utilizes and understands the departmental computer system to realize its optimal potential and to be able to evaluate and answer staff member questions regarding the mechanics of the system.
Responsible for ensuring Efts are set up and depositing to the correct bank account.
Responsible that check deposits are scanned to the bank timely and set up EFTs for all manual checks.
Monitors insurance table in WellSky and request new Iplans, if appropriate
Resolve/refund AR credit balances
AR Analysis and report findings to the CFO
Responsible to prepare end of month reports for CFO
Performs other duties as assigned

Safety (15% of performance review)

Strives to create a safe, healing environment for patients and family members
Follows all safety rules while on the job.
Reports near misses, as well as errors and accidents promptly.
Corrects minor safety hazards.
Communicates with peers and management regarding any hazards identified in the workplace.
Attends all required safety programs and understands responsibilities related to general, department, and job specific safety.
Participates in quality projects, as assigned, and supports quality initiatives.

Teamwork (15% of performance review)

Works well with others in a spirit of teamwork and cooperation.
Responds willingly to colleagues and serves as an active part of the hospital team.
Builds collaborative relationships with patients, families, staff, and physicians.
The ability to retrieve, communicate, and present data and information both verbally and in writing as required
Demonstrates listening skills and the ability to express or exchange ideas by means of the spoken and written word.
Demonstrates adequate skills in all forms of communication.

Integrity (15% of performance review)

Strives to always do the right thing for the patient, coworkers, and the hospital
Adheres to established standards, policies, procedures, protocols, and laws.
Applies the Mission and Values of SUN Behavioral Health to personal practice and commits to service excellence.
Supports and demonstrates fiscal responsibility through supply usage, ordering of supplies, and conservation of facility resources.
Completes required trainings within defined time periods, as established by job description, policies, or hospital leadership
Exemplifies professionalism through good attendance and positive attitude, at all times.

Compassion (15% of performance review)

Demonstrates accountability for ensuring the highest quality patient care for patients.
Willingness to be accepting of those in need, and to extend a helping hand
Desire to go above and beyond for others
Understanding and accepting of cultural diversity and differences

Education

Required: High school diploma or GED. Basic medical terminology.
Maintains education and development appropriate for position
May substitute education for experience

Experience

Required: Five (5) or more years of previous hospital experience in the business office/front end functions. Knowledge of insurance payor rules and regulations.
Preferred: Experience with HIPPA regulated environment, processing ICD-10 CPT/HCPCs, EOBs, third party payers, Medicare, managed care and private pay. Understanding of behavioral health treatment modalities. Working experience in Wellsky system a plus
May substitute experience for education

Apply Now

Refine Your Search

claims supervisor jobs in columbus

Manager, Business Office

Senior Project Manager - Diverse Commercial Construction

Assistant Branch Manager - Sales Manager Trainee

Sr. Client Manager - Employee Benefits

Billing & Collections Manager (BOM)

Billing & Collections Manager (BOM)

Client Service Supervisor

Inbound and Inventory Control Manager

Auto Damage Claims Manager

Anti-Fraud Manager

Field Reimbursement Manager - US Central

Travel Manager

Homecare - Revenue Cycle Manager – Remote

OhioRISE CME Care Coordinator Supervisor I

Customer Care Manager II

PBM Client Experience Manager

Business Office Manager

Customer Care Manager - State Farm Agent Team Member

Manager, Non-Revenue Fleet & Process Auditing

Manager, AI Service Operations Transformation PMO

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