Claims Processing & Denials Supervisor

Providence; Los Angeles (CA); On-site; USD 54,000 - 84,000; Full time

Job summary

Providence is seeking a supervisor for the Claims Processing and UM Denial Letter Units. The role directs staff, oversees daily operations, and ensures compliance with AB1455 and CMS guidelines.

You will generate reporting and work to improve accuracy and timeliness in claims handling. This leadership position requires coordinating with the Manager, Claims, and other teams, maintaining high standards of accuracy, and ensuring processes align with department policies and Providence's mission of

Qualifications

• 3 years experience in a leadership role within medical claims related field.
• 5 years experience in medical/institutional claims examining within a medical group/IPA setting claim processing experience.
• 2 years experience in a medical/institutional claims customer services unit within a health plan medical group or IPA setting.

Responsibilities

• Supervise staff and oversee day-to-day operations of the Claims Processing and UM Denial Letter Units.
• Prepare and provide reports to ensure compliance with AB1455, CMS guidelines and department policies.
• Collaborate with managers to ensure accurate claims processing and timely denial communications.

Skills

Leadership

Claims processing

Staff supervision

Tools

Access

Teleform

IDX

Job description

Providence is seeking a supervisor for the Claims Processing and UM Denial Letter Units. The role directs staff, oversees daily operations, and ensures compliance with AB1455 and CMS guidelines.

You will generate reporting and work to improve accuracy and timeliness in claims handling. This leadership position requires coordinating with the Manager, Claims, and other teams, maintaining high standards of accuracy, and ensuring processes align with department policies and Providence's mission of