Medical Claims Supervisor

Virtual Vocations Inc; United States; Remote; USD 65,000 - 90,000; Full time

Job summary

Virtual Vocations Inc. seeks a full-time Medical Claims Integrity and Training Supervisor to design and implement training programs, manage audit activities, and collaborate with management to enhance staff development in a remote work environment.

The role focuses on designing sessions, leading audit teams, and ensuring compliance with internal policies while supporting cross-department training initiatives in a distributed setting.

Qualifications

• Minimum of 2+ years of medical claims processing experience.
• Experience in developing and implementing training curriculum.
• Strong critical thinking skills and ability to exercise independent judgment.

Responsibilities

• Design and conduct training sessions for Operations Teams, preparing and managing training materials.
• Lead audit team activities, monitor performance, and provide feedback to ensure quality and productivity standards are met.
• Collaborate with various departments to ensure staff is trained in accordance with internal policies and regulatory requirements.

Skills

Medical claims processing

Training curriculum development

Critical thinking

Independent judgment

MS Word

MS Excel

PowerPoint

Education

High school diploma

College or vocational education desirable

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Job description

Supervising the auditing team and overseeing department training, the full-time Medical Claims Integrity and Training Supervisor will design and implement training programs, manage audit activities, and collaborate with management to enhance staff development in a remote work environment.

Key Responsibilities

• Design and conduct training sessions for Operations Teams, preparing and managing training materials
• Lead audit team activities, monitor performance, and provide feedback to ensure quality and productivity standards are met
• Collaborate with various departments to ensure staff is trained in accordance with internal policies and regulatory requirements

Required Qualifications

• Minimum of 2+ years of medical claims processing experience
• High school diploma required; college or vocational education is desirable
• Proven experience in developing and implementing training curriculum
• Strong critical thinking skills and ability to exercise independent judgment
• Familiarity with Microsoft Word, Excel, and PowerPoint