Supervisor Claims

Providence Health & Services; Mission Hills (CA); On-site; USD 54,000 - 84,000; Full time

Benefits offered by this job

401(k) plan

Health insurance

Paid time off

Job summary

Providence Health & Services is seeking a Lead Claims Supervisor in Mission Hills, CA to supervise staff and oversee daily operations of the Claims Processing and UM Denial Letter Units. The role ensures AB1455 compliance and CMS guideline adherence within the department.

The position emphasizes leadership in a health-care claims environment, with a focus on accuracy, policy compliance, and effective team coordination in a complex payer landscape.

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.
• Provide reporting to ensure compliance with AB1455 and CMS guidelines and department policies.
• Uphold and enforce department policies and procedures.

Skills

Leadership in claims

Claims processing

Customer service

Tools

Access

Teleform

IDX

Job description

Description

Working under the direction of the Manager, Claims, this position has direct responsible for the supervision of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include reporting functions to ensure compliance with AB1455, attention to CMS guidelines and department policy and procedures.

Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required 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

Preferred Qualifications

• Customer service experience within the Health Care Industry


• Access, Teleform and IDX experience

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of \"Know me, care for me, ease my way.\" Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.

PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington's greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence's St. John's Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Company: Providence Jobs

Job Category: Claims

Job Function: Revenue Cycle

Job Schedule: Full time

Job Shift: Day

Career Track: Leadership

Department: 7520 CLAIMS PROCESSING CA HERITAGE SERVICES

Address: CA Mission Hills 11165 N Sepulveda Blvd

Work Location: Facey Sepulveda Annex-Mission Hills

Workplace Type: On-site

Pay Range: $39.45 - $61.24

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.