Top 359 Claims supervisor Jobs in Arizona

Supervisor, Payment Integrity (Remote)
Molina Healthcare —Arizona
- $54,922 - $107,099 a year
- Full-time
- Remote
- Inventory management
- 3 years
- Mentoring
- Health insurance
ASC Billing Manager
Advanced Spine and Pain, LLC —Phoenix, AZ
- $62,000 - $78,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Dental insurance
- 401(k)
Quick Apply
9d
Collision Center Manager
Confidential —Phoenix, AZ
- From $144,000 a year
- Full-time
- ASE Certification
- Background check
- Clean driving record
- Paid holidays
- Health insurance
Quick Apply
Behavioral Health Medical Billing Supervisor
Sahara Behavioral Health —Glendale, AZ
- $25 - $35 an hour
- Full-time
- 5 years
- HIPAA
- Office
- Paid time off
Quick Apply
4d
Swimming Pool Service Manager
Barefoot Pools, LLC. —Gilbert, AZ
- From $60,320 a year
- Full-time
- Mid-level
- Team management
- Recruiting
- Health insurance
- Paid time off
Quick Apply
Global Compressor Category Manager
Smardt —Phoenix, AZ
- Full-time
- Inventory management
- Experience equivalent to degree accepted
- Senior level
- Health insurance
- Dental insurance
Quick Apply
Telehealth Medical Clinic Manager
Envita Medical Centers LLC —Scottsdale, AZ
- Full-time
- Master's degree
- Bachelor's degree
- Senior level
- Health insurance
- Dental insurance
Quick Apply
Litigation Manager, Property & Casualty
KW Specialty Insurance Company —Scottsdale, AZ
- $120,000 - $140,000 a year
- Full-time
- Remote
- Management
- 3 years
- 8 years
- Health insurance
- Dental insurance
Quick Apply
3d
Safety Manager
Truesdell Corporation —Tempe, AZ
- $90,000 - $120,000 a year
- Weekends as needed
- Spanish
- Construction site
- Customer service
- Travel reimbursement
- Health savings account
Quick Apply
Benefits Manager
RISE Services, Inc. —Mesa, AZ
- $95,000 - $100,000 a year
- Full-time
- Microsoft Word
- HIPAA
- Research
- Paid jury duty
- Paid holidays
Quick Apply
5d
Medical Case Manager
AmTrust Financial Services, Inc. —Scottsdale, AZ
- $80,000 - $91,000 a year
- Full-time
- Hybrid work
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Terminal Manager – Phoenix & Tucson Locations
Barnett's Towing LLC —Tucson, AZ
- $85,000 - $110,000 a year
- Overnight shift
- In person
- Clean driving record
- Sales
- CDL A
- Health insurance
- Dental insurance
Quick Apply
2d
D2D Sales Manager - Roofing
Advosy —Tucson, AZ
- $120,000 - $150,000 a year
- Management
- Mid-level
- Driver's License
Quick Apply
RCM Billing Manager
American Vision Partners —Phoenix, AZ
- Full-time
- Microsoft Outlook
- Surgery
- Customer service
- Paid holidays
- Health insurance
Operations Manager
Temco Logistics —Flagstaff, AZ
- $65,000 - $70,000 a year
- Full-time
- Mid-level
- Office
- Warehouse
- Health insurance
- Dental insurance
Quick Apply
Trade Compliance Manager
Masis Professional Group —Surprise, AZ
- $90,000 a year
- 7 years
- Microsoft Office
- Analysis skills
Quick Apply
Sr. Project Manager (Mechanical)
RimePro Inc —Phoenix, AZ
- $120,000 - $150,000 a year
- Full-time
- 11+ years
- Mentoring
- Contracts
Quick Apply
Apartment Property Manager #824
Cal-Am Properties Inc —Gilbert, AZ
- $67,000 a year
- Full-time
- Clean driving record
- Mid-level
- Residential
- Health insurance
- Dental insurance
Quick Apply
Associate General Manager, Dealership
Carvana —Phoenix, AZ
- Background check
- Dealership
- Mentoring
Quick Apply
Business Office Manager Assistant
Resolve Diamondback —Phoenix, AZ
- $17 - $19 an hour
- Full-time
- CPR Certification
- BLS Certification
- Administrative experience
- Health savings account
- Health insurance
Quick Apply

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Supervisor, Payment Integrity (Remote)

Molina Healthcare -
Arizona

Apply Now

Job Details

Full-time
$54,922 - $107,099 a year

Benefits

Health insurance

Qualifications

Client rapport building
Employee relationship building
Managing projects
Productivity software

Full Job Description

JOB DESCRIPTION Job SummaryLeads and supervises team responsible for payment integrity activities including recovery operations. Responsible for performance, quality levels and establishing procedures and techniques that achieve optimal payment integrity operational standards and production targets.

Essential Job Duties

Supports implementation and execution of initiatives that include one or all of the following payment integrity activities: overpayment recovery, pre and post-pay coordination of benefits (COB), subrogation, premium enhancement managed service provider (MSP), datamining, pre-pay editing for correct coding and medical payment policies, and supplemental oversight and vendor inventory management processing activities.
Hires, trains, develops, mentors, and manages team responsible for executing projects and activities involving inventory management and prioritization, information reporting, data management, quality control procedures and workflows, and timely turnaround.
Leads recovery processing, offset reconciliation, refund posting and reconciliation, provider dispute resolution, claim referrals and health plan special projects.
Ensures team meets or exceeds production targets.
Executes payment integrity programs that prioritize, identify and resolve payment/recovery issues.
Establishes procedures and techniques to achieve payment integrity operational standards.
Executes and monitors recovery inventory to ensure maintenance of performance and quality levels in payment integrity business products and processes.
Demonstrates expertise in claims processing, claims payment issue resolution, payment/adjustment error troubleshooting, and quality controls recovery adjustments.
Professionally communicates and responds to health plan/provider inquiries and understands when to escalate issues for resolution as appropriate.
Manages inventory production queues, and assigns and prioritizes work.
Analyzes complex data driven reports and develops actionable insights for resolution and leadership reporting.
Collaborates with payment integrity leadership to resolve recovery issues in collaboration with health plan operations.
Executes tasks and projects to ensure Centers for Medicare and Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits, overpayment recovery, COB and subrogation - ensuring improved encounter submissions, general and administrative (G&A) reduction, and positive operational and financial outcomes for the payment integrity function.

Required Qualifications

At least 5 years of experience supporting health care operations, including 3 years payment integrity/claims experience, or equivalent combination of relevant education and experience.
Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers.
Strong organizational and time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software program(s) proficiency.

Preferred Qualifications

Management/leadership experience.
Managed care payor experience, preferably with Medicare/Medicaid.
Understanding of ICD-9/10CM, MS-, AP- and APR-DRG reimbursement.
Electronic medical record (EMR) and medical record repository experience.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $54,922 - $107,099 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

claims supervisor jobs in arizona

Supervisor, Payment Integrity (Remote)

ASC Billing Manager

Collision Center Manager

Behavioral Health Medical Billing Supervisor

Swimming Pool Service Manager

Global Compressor Category Manager

Telehealth Medical Clinic Manager

Litigation Manager, Property & Casualty

Safety Manager

Benefits Manager

Medical Case Manager

Terminal Manager – Phoenix & Tucson Locations

D2D Sales Manager - Roofing

RCM Billing Manager

Operations Manager

Trade Compliance Manager

Sr. Project Manager (Mechanical)

Apartment Property Manager #824

Associate General Manager, Dealership

Business Office Manager Assistant

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