Top 963 Claims supervisor Jobs in Remote

Program Support Supervisor
ConnectMed360 —Remote
- $65,000 - $90,000 a year
- Remote
- Mid-level
- Trade school
- Computer skills
- Paid holidays
- Disability insurance
Quick Apply
Claims Verification Supervisor
TopDog Law LLC —Remote
- $64,300 - $92,000 a year
- Full-time
- Remote
- Mid-level
- Supervising experience
- Bachelor's degree
- Health savings account
- Disability insurance
Quick Apply
2d
Sr. Manager of Healthcare Claims - TPA
Personify Health —Remote
- $107,000 - $140,000 a year
- Email
- 5 years
- HIPAA
- Office
- Health insurance
- Dental insurance
Claims Supervisor
Avesis, Incorporated —Remote
- $50,780 - $99,240 a year
- Email
- Microsoft Excel
- Research
- Mid-level
- Paid parental leave
- Disability insurance
4d
Claims Manager - Risk Management
Live Nation —Remote
- $104,000 - $130,000 a year
- Full-time
- Microsoft Excel
- Management
- Analysis skills
- Health savings account
- Paid holidays
Revenue Cycle & Claims Operations Manager
Jukebox Health —Remote
- $115,000 - $140,000 a year
- Remote
- Management
- 3 years
- Analysis skills
- Health savings account
- Paid holidays
Quick Apply
Associate Manager - Complaints & Grievances
MetLife —Remote
- $78,000 - $104,000 a year
- Email
- Research
- US work authorization
- SharePoint
- Paid holidays
- Disability insurance
9d
Damage Claims Supervisor
ITG Communications —Remote
- $45,000 - $60,000 a year
- Full-time
- High school diploma or GED
- Senior level
- 2 years
Claims Operations, Senior Manager Meritain TPA, Remote
CVS Health —Saint Paul, MN
- $75,400 - $182,549 a year
- Full-time
- Remote
- 7 years
- Bachelor's degree
- Fair chance
- Health insurance
- Dental insurance
9h
Supervisor, Provider Enrollment
Ventra Health, Inc. —Remote
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Referral program
Manager - Claims, Asset Protection & Safety (CAPS)
Tsunami Car Wash Intermediate Holdco, LLC —Remote
- $75,000 - $85,000 a year
- Full-time
- Customer service
- Travel
- Organizational skills
- Paid training
- Dental insurance
Quick Apply
Supervisor-Operations
Sagility —Remote
- Call employer
- Remote
- Computer literacy
- Mid-level
- Windows
Customer Service Supervisor
Luminare Health —Remote
- $42,200 - $79,300 a year
- Full-time
- Remote
- Spanish
- English
- Research
- Paid parental leave
- Paid holidays
Test Manager
HealthEdge —Remote
- $120,000 - $140,000 a year
- Full-time
- HIPAA
- Criminal background check
- Travel
Supervisor, Medicaid Claims Reviewer
Mass General Brigham Health Plan Holding Company, Inc. —Somerville, MA
- $79,560.00 - $115,720.80 a year
- Full-time
- Remote
- Analysis skills
- Bachelor's degree
- Organizational skills
- Health insurance
- Opportunities for advancement
Quick Apply
8d
Billing Support Operations Manager (Remote)
Rula —Los Angeles, CA
- $99,000 - $114,950 a year
- Full-time
- Remote
- 5 years
- Experience equivalent to degree accepted
- Senior level
- Paid parental leave
- Health savings account
Manager of Member and Provider Service
WellSense Health Plan —Remote
- $69,500 - $101,000 a year
- Full-time
- Background check
- 5 years
- Bachelor's degree
- Health insurance
- Dental insurance
Manager of Clinical Appeals and Grievances
Healthfirst —Remote
- $88,700 - $149,430 a year
- Full-time
- Research
- Bachelor's degree
- Experience equivalent to degree accepted
- Health insurance
- Dental insurance
Patient Support Supervisor
Sagility —Remote
- Remote
- HIPAA
- Mid-level
- 3 years
12d
Manager, Eligibility and Benefits
Integrated Pain Management Medical Group, Inc. —Walnut Creek, CA
- $87,360 - $104,000 a year
- Full-time
- Remote
- Supervising experience
- Senior level
- Leadership
- Paid holidays
- Health insurance
Quick Apply
7d

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Program Support Supervisor

ConnectMed360 -
Remote

Quick Apply

Job Details

$65,000 - $90,000 a year

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching

Qualifications

Accounting systems
Healthcare staff management
Medical software
Team leadership
Customer inquiry handling
Registered Pharmacy Technician
Computer skills
Task assignment
General management

Full Job Description

ConnectMed360 is seeking Program Support Supervisor role. This position can be fully remote. We offer quarterly incentive bonuses with plenty of growth opportunities!

A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion.

We are seeking a Program Support Supervisor to grow with us! The hours for this position is Monday- Friday 9:00am - 6:00pm EST. We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth.

ConnectMed360 is a unique model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.

Starting salary: $65K and up depending on experience

We offer a variety of benefits including:

Medical; Dental; Vision
401k with a match
Paid Time Off and Paid Holidays
Quarterly Incentive Bonuses
Tuition Reimbursement
Company paid benefits – life; and short and long-term disability

Summary:

The Program Support Supervisor is responsible for supervising the accuracy and timeliness of the program’s billing function, prescription fulfillment process, and pharmacy/medical benefits investigations.

Major responsibilities:

Manages the verification of current coverage with third party payers and obtains authorizations as needed.
Helps with the resolution of billing issues such as claim resubmissions to all payers, changes in coverage, and claims adjustments.
Ensures that all prescriptions are billed in accordance with Medicare/DMEPOS regulations and that all required information is documented on the hardcopy prescription.
Communicates as required with client/patients about billing issues, including the results of applications for financial hardship assistance and other responses to customer inquiries about billing.
Communicates as required with manufacturer sales representatives.
Coordinates and participates in conference calls with manufacturer partners when requested.
Oversees record keeping so that all information is accurate and complete and manages the flow of up-to-date information between billing department and other parts of the Company, such as the accounts receivable, accounts payable and customer service departments.
Generates and analyzes reports.
Assists with developing, reviewing, and suggesting changes to prescription fulfillment department policies and procedures as needed.
Ensures ongoing compliance with all laws and regulations; ensures the department meets or exceeds accreditation standards; and implements ‘’best practices’ in all departmental activities.
Delegates authority when necessary to ensure that all responsibilities of this position are fulfilled in a timely and accurate manner.
Helps with the completion of pharmacy and medical cases when needed.
Assists with managing and training staff in benefits investigations.
Monitors daily calls/cases/chats.
Other duties as assigned.
Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards

Position Qualifications:

Education/Learning Experience:

Required: Associate’s Degree or equivalent from a 2-year college or technical school, or certificate program in pharmacy and/or healthcare

Work Experience:

Required: Minimum of two years’ pharmacy experience
Desired: 1 to 3 years’ experience in Healthcare Management, preferred

Skills/Knowledge:

Required: Ability to organize and plan the activities of team, delegate appropriately, provide superior level of customer service, and computer experience to include accounting and billing software. Must be a team player.
Desired:

Licenses/Certifications:

Required: Registration/Certification with Board of Pharmacy as required by law
Desired: Certified Pharmacy Technician (PTCB)

Quick Apply

Refine Your Search

claims supervisor jobs in remote

Program Support Supervisor

Claims Verification Supervisor

Sr. Manager of Healthcare Claims - TPA

Claims Supervisor

Claims Manager - Risk Management

Revenue Cycle & Claims Operations Manager

Associate Manager - Complaints & Grievances

Damage Claims Supervisor

Claims Operations, Senior Manager Meritain TPA, Remote

Supervisor, Provider Enrollment

Manager - Claims, Asset Protection & Safety (CAPS)

Supervisor-Operations

Customer Service Supervisor

Test Manager

Supervisor, Medicaid Claims Reviewer

Billing Support Operations Manager (Remote)

Manager of Member and Provider Service

Manager of Clinical Appeals and Grievances

Patient Support Supervisor

Manager, Eligibility and Benefits

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