Claims Examiner Supervisor

🔥 6 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $46.9k - $70.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Tenet Healthcare

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

👥 B2C

💰 $2G Post IPO debt on 2022-07

Healthcare • B2C

Tenet Healthcare is a for-profit healthcare services company that owns and/or operates hospitals and hospital programs through subsidiaries and affiliates across the United States. The company's website and materials describe acute-care hospitals, emergency centers, specialty services (including cancer centers and advanced cardiac imaging), medical office buildings, physician careers and community health networks; Tenet emphasizes compliance, community service, and clinical innovation.

📋 Description

• Supervise a team of claims personnel • Manage claims inventory for multiple companies according to state and federal guidelines using inventory management systems and reports • Team with other departments to resolve departmental and employee issues • Review and update policies and procedures • Manage subordinate staff work behaviors • Coach, counsel, and reward staff based on individual performance • Deliver monthly and annual performance reviews • Interview, hire, and train employees • Plan, assign, and direct work • Appraise performance • Reward and discipline employees • Address complaints and resolve problems • Supervise Claims Leads, Claims Examiners, Project Coordinators, and Adjusters • Support Conifer Health’s healthcare clients in strengthening financial and clinical performance and improving healthcare quality, cost, access, and patient experience

🎯 Requirements

• High School Diploma or Equivalent • 5-6 years Supervisory/Management experience preferred • 2-3 years claims experience in a managed care environment preferred • General office equipment experience • Excellent understanding of health and managed care concepts and their application in the adjudication of claims • Strong working knowledge of ICD.9.CM, CPT, HCPCS, RBRVS coding schemes and medical terminology • Must obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment, as applicable and permitted by law • Must be able to work in sitting position, use computer and answer telephone • Ability to travel (minimal) • Light physical effort, including lifting up to 10 lbs.; regularly bend, stoop and reach to file

🏖️ Benefits

• Management level positions may be eligible for sign-on and relocation bonuses • Medical, dental, vision, disability, life, and business travel insurance • Paid time off (vacation & sick leave) – min of 12 days per year • 401k with up to 6% employer match • 10 paid holidays per year • Health savings accounts • Healthcare and dependent flexible spending accounts • Employee Assistance program • Employee discount program • Voluntary pet insurance • Legal insurance • Accident and critical illness insurance • Long term care • Elder & childcare • AD&D insurance • Auto & home insurance • For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act