Onsite Claims Supervisor - Vision Benefits

BeneCard PBF; Clifton (NJ); On-site; USD 70,000 - 80,000; Full time

Benefits offered by this job

Vacation time

Medical insurance

Vision advantages

Disability insurance

Life insurance

FSA

Employee referral

Tuition reimbursement

Professional development

Job summary

National Vision Administrators in Clifton, NJ seeks an experienced Claims Supervisor to oversee the daily operations of the vision eye care claims team. You will ensure accurate Medicaid/Medicare adjudication and regulatory compliance, with an emphasis on timely processing.

The role is in-office at Clifton, NJ, Monday–Friday, 8:30am–5:00pm, with responsibilities including staff supervision, complex claims review, and audits.

Qualifications

• Medicaid/Medicare claims processing experience
• Vision/eye care billing experience
• Strong communication and organizational skills
• Experience with AS400 or similar claims systems
• Proficiency in Excel and Microsoft Office
• CPC/CPB/CBC certification preferred

Responsibilities

• Supervise claims staff and manage daily workflow
• Review and process complex/high-dollar claims
• Ensure accuracy of medical billing and coding (CPT, ICD-10, HCPCS, modifiers)
• Manage COB/TPL claims and resolve denials
• Ensure Prompt Pay compliance and regulatory adherence
• Oversee ManageEngine tickets and escalations
• Support audits, reporting, and quality assurance
• Train and develop team members

Job description

National Vision Administrators in Clifton, NJ seeks an experienced Claims Supervisor to oversee the daily operations of the vision eye care claims team. You will ensure accurate Medicaid/Medicare adjudication and regulatory compliance, with an emphasis on timely processing.

The role is in-office at Clifton, NJ, Monday–Friday, 8:30am–5:00pm, with responsibilities including staff supervision, complex claims review, and audits.