Claims Operations Supervisor — AI-Enabled Processing

Advanced Medical Management; Long Beach (CA); On-site; USD 68,000 - 92,000; Full time

Benefits offered by this job

Health Coverage (Employer-paid)

Vision and dental premiums

401(k) plan

PTO and holidays

Tuition reimbursement

Job summary

Advanced Medical Management is seeking a Supervisor Clerical in Long Beach, CA to lead the daily clerical and claims-support operations of the Claims department. You will guide a team of claims clerks through intake, imaging, data entry, adjustment, correspondence, and appeals support workflows under the Manager of Claims Operations.

You will help drive quality, payment accuracy, and compliance readiness in a modern, paperless environment and collaborate with AI-assisted tools while safeguarding

Qualifications

• 4–6 years of healthcare claims processing experience with supervisory exposure.
• Working knowledge of Medicare, Medicaid, and Commercial claims.
• Proficiency with CPT, HCPCS, ICD-10-CM coding; a coding credential (e.g., CPC, CCS) is a plus.
• Experience with a claims administration platform such as EZ-CAP and a document-management/imaging system such as OnBase is strongly preferred.

Responsibilities

• Supervise, train, and mentor claims clerks; serve as the subject-matter expert on claims reprocessing and daily clerical procedures.
• Assign and balance daily workloads, monitor productivity and turnaround times, and ensure end-of-day close-out is completed accurately.
• Communicate with the Claims Manager and production staff; coordinate with client services, external vendors, health plans to resolve claims issues.
• Oversee claims batching, filing, and daily retrieval of health-plan files (SFTP/portals).

Skills

Leadership

Claims processing

HIPAA compliance

Microsoft 365

AI-assisted tools

Education

High school diploma or GED

Associate's degree preferred

Tools

EZ-CAP

OnBase

Job description

Advanced Medical Management is seeking a Supervisor Clerical in Long Beach, CA to lead the daily clerical and claims-support operations of the Claims department. You will guide a team of claims clerks through intake, imaging, data entry, adjustment, correspondence, and appeals support workflows under the Manager of Claims Operations.

You will help drive quality, payment accuracy, and compliance readiness in a modern, paperless environment and collaborate with AI-assisted tools while safeguarding