Top 19 Claims supervisor Jobs in Springfield, Il

Senior Manager, Pharma Support Services - Remote
Option Care Enterprises, Inc. —Springfield, IL
- $78,973.32 - $131,614.70 a year
- Full-time
- High school diploma or GED
- Travel
- Senior level
- Health savings account
- Health insurance
Quick Apply
4d
MANAGER, CENTRAL INTAKE
Memorial Health —Springfield, IL
- $32.14 - $49.82 an hour
- Full-time
- Computer literacy
- Mid-level
- Analysis skills
Program Integrity Manager
CVS Health —Springfield, IL
- $54,300 - $145,860 a year
- Full-time
- Hybrid work
- 5 years
- Office
- Analysis skills
- Health insurance
- Dental insurance
10d
Manager, Patient Access Services.
Memorial Health —Springfield, IL
- $32.14 - $49.82 an hour
- Full-time
- Hospital
- Research
- Mid-level
Senior Manager, Pharma Support Services - Remote
Option Care Health —Springfield, IL
- $78,973.32 - $131,614.70 a year
- Full-time
- High school diploma or GED
- Travel
- Senior level
- Health savings account
- Health insurance
4d
Claims Manager
Troxell —Springfield, IL
- $50,000 - $70,000 a year
- Full-time
- Research
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
Manager, Revenue Cycle and Auditing
Springfield Clinic —Springfield, IL
- $90,355.20 - $144,560.00 a year
- Full-time
- Microsoft Excel
- Bachelor of Science
- Office
Product Manager, Fraud & Abuse
CVS Health —Springfield, IL
- $92,700 - $203,940 a year
- Full-time
- Mid-level
- 3 years
- Bachelor's degree
- Health insurance
- Dental insurance
MPPS Policy Deviations Senior Manager
CVS Health —Springfield, IL
- $67,900 - $182,549 a year
- Full-time
- Nursing
- 5 years
- Bachelor's degree
- Health insurance
- Dental insurance
1d
Sr. Mgr, Business Analytics - Zinc
CVS Health —Springfield, IL
- $75,400 - $182,549 a year
- Full-time
- 5 years
- Microsoft Office
- SQL
- Health insurance
- Dental insurance
Specialty Pharmacy Manager
Optum —Springfield, IL
- $112,700 - $193,200 a year
- Full-time
- Pass drug screening
- Outpatient experience
- Supervising experience
Quick Apply
8h
Group Product Manager, Digital Commerce & Marketing Products
CLEAResult Consulting Inc. —Springfield, IL
- $141,900 - $212,900 a year
- Full-time
- 7 years
- Product management
- Mentoring
- Health insurance
- Dental insurance
Quick Apply
Case Manager, Registered Nurse Field (Bureau County, IL)
CVS Health —Springfield, IL
- $66,575 - $142,576 a year
- Full-time
- Bilingual
- Nursing
- Microsoft Outlook
- Health insurance
- Dental insurance
Field Nurse Case Manager - Springfield, IL
Gallagher Bassett —Springfield, IL
- $64,000 - $96,000 a year
- Full-time
- Nursing
- Medicine
- Microsoft Outlook
- Paid parental leave
- Health savings account
Technical Service Manager
Rentokil North America —Springfield, IL
- $73,000 - $111,000 a year
- Full-time
- Sanitation
- Office
- Ability to climb stairs
- Paid holidays
- Disability insurance
Quick Apply

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claims supervisor jobs near springfield, il

Senior Manager, Pharma Support Services - Remote

Option Care Enterprises, Inc. -
Springfield, IL

Quick Apply

Job Details

Full-time
$78,973.32 - $131,614.70 a year
4 days ago

Benefits

Health savings account
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

High school diploma or GED
Individual consumer customer service

Full Job Description

Extraordinary Careers. Endless Possibilities.

With the nation’s largest home infusion provider, there is no limit to the growth of your career.

Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.

Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you’re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.

Job Description Summary:

The Senior Manager, Pharma Support Services - Specialty Operations is responsible for overseeing all patient registration activities & operations for multiple CMC’s, or for a specific region/area. The Senior Manager, Pharma Support Services - Specialty Operations manages the overall performance and productivity of the PR teams in facilitating all aspects of the patient’s transition to home/AIS with the goal of delivering a consistent onboarding experience where patients and referral partners feel Option Care Health makes it easy to transition care.

Job Description:

Job Responsibilities (listed in order of importance and/or time spent)

Directly oversees the patient registration activities with multiple CMC’s, or for a specific region/area to ensure all performance expectations for time to yes, quality and cash collections (COH, denial) are achieved.
Interviews, hires, and trains employees. Directs work, appraises performance and manages all aspects of succession planning; rewarding and disciplining employees; addressing complaints and resolving problems.
Analyzes and monitors key PR performance to effectively identify key trends, implement corrective actions and effectively communicating outcomes to senior management.
Monitors daily performance including team member coaching: 1) Quality - Ensure team member consistency in obtaining required paperwork, dialogue, securing payment 2) Speed – Ensure timely actions with each step of the referral flow and handoffs. 3) Customer Service – Ensure consistent demonstration of exceptional customer service with every customer (both internal and external).
Collaborates with cross-functional leaders across Operations, Reimbursement, Compliance and Sales to drive Patient Registration priorities.
Interfaces extensively across all operation and reimbursement functions to ensure processes are streamlined and align with payer regulations and company policies.
Assists with the development and rollout of key patient registration initiatives.
Manages all aspects of the sites claims on hold, denial, cash collection process.

Supervisory Responsibilities

Does this position have supervisory responsibilities?

(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)

Yes - X

Basic Education and/or Experience Requirements

High school diploma or equivalent is required.
At least 2 years of previous patient registration management experience, OR
At least 6 years of previous patient registration experience.

Basic Qualifications

Ability to multi-task and drive numerous priorities at one time.
Ability to work in a fast past environment.
Must be detail-oriented and have a high degree of quality focus.
High degree of customer service skills required.

Physical Demand Requirements

Ability to work for extended periods of time on a personal or laptop computer.
Occasional bending, stooping, reaching.

Travel Requirements: (if required)

N/A

Preferred Qualifications & Interests (PQIs)

Previous home health care experience preferred.

May perform other duties as assigned

Due to state pay transparency laws, the full range for the position is below:

Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Pay Range is $78,973.32-$131,614.70

Benefits:

Medical, Dental, & Vision Insurance
Paid Time off
Bonding Time Off
401K Retirement Savings Plan with Company Match
HSA Company Match
Flexible Spending Accounts
Tuition Reimbursement
myFlexPay
Family Support
Mental Health Services
Company Paid Life Insurance
Award/Recognition Programs

Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.

Quick Apply

Refine Your Search

claims supervisor jobs in springfield, il

Senior Manager, Pharma Support Services - Remote

MANAGER, CENTRAL INTAKE

Program Integrity Manager

Manager, Patient Access Services.

Senior Manager, Pharma Support Services - Remote

Claims Manager

Manager, Revenue Cycle and Auditing

Product Manager, Fraud & Abuse

MPPS Policy Deviations Senior Manager

Sr. Mgr, Business Analytics - Zinc

Specialty Pharmacy Manager

Group Product Manager, Digital Commerce & Marketing Products

Case Manager, Registered Nurse Field (Bureau County, IL)

Field Nurse Case Manager - Springfield, IL

Technical Service Manager

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Job Responsibilities (listed in order of importance and/or time spent)

Supervisory Responsibilities

Basic Education and/or Experience Requirements

Basic Qualifications

Physical Demand Requirements

Travel Requirements: (if required)

N/A

Preferred Qualifications & Interests (PQIs)

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