Claims Processing Supervisor jobs in Passaic, NJ
Claims Processing Supervisor supervises the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures the accurate and timely disposition of claims and resolves matters according to coverage amounts and company procedures. Being a Claims Processing Supervisor provides guidance to staff on more complex or high-value claims. Reviews and resolves escalated issues. Additionally, Claims Processing Supervisor requires a high school diploma. Typically reports to a manager. The Claims Processing Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. To be a Claims Processing Supervisor typically requires 3 years experience in the related area as an individual contributor. Thorough knowledge of functional area under supervision. (Copyright 2024 Salary.com)
Recently Added Claims Processing Supervisor jobs
- Benecard Services Inc.
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Clifton, NJ
FULL_TIME
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JOB SUMMARY: Claims Processing Manager/Examiner directly reports to the Senior Manager of the Claims Department and is an integral member of the Claims Leadership Team.
ROLES AND RESPONSIBILITIES: Claims Processing Manager/Examiner will be responsible for preparing all audit document, processing claims requiring supervisory override. Distribute daily work, meeting monthly department goals, meeting prompt pay deadlines, monthly reporting and other responsibilities as assigned.
QUALIFICATIONS:- 5 year experience processing and adjudicating Medicaid and Medicare claims including:
- Billing and Coding Edits (CPT/ICD-10/HCPCS/ Modifiers)
- Third Party Liability COB (Coordination of Benefits) filing rules.
- CPT Codes/HCPCS Codes
- Knowledge of AS400
- Understanding of the billing resubmission process
- Timely filing
- Researching rejected claims.
- Remittance advice
- Proper use of modifiers with procedure codes
- Detailed knowledge of electronic billing processes and universal billing forms (HCFA 1500)
- Knowledge of the appeal process to government payers
- Promptly and professionally respond to emails.
- Computer proficiency in a Windows environment, knowledge of Microsoft Office products with an emphasis in Excel
- Certified Professional Coder (CBC) and/or Certified Professional Biller (CPB) a plus
Featured Benefits- Competitive salary
- Potential to earn $1,000 sign-on bonus
- Vacation and Sick/Personal Time
- Medical Insurance
- Hearing Program Discount
- Short- & Long-Term Disability Insurance
- Life Insurance
- Flexible Spending Account
- 401(k)
- Employee Referral Program
- Employee Recognition
- Tuition Reimbursement
- Professional Development Training
About Benecard Services our affiliated companies:Benecard Services, LLCBenecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990. Benecard is a full service, in-house prescription benefit administrator that includes mail and specialty drug dispensing. We are a premiere nationwide Prescription Benefit Administrator headquartered in Lawrenceville, New Jersey.Website: http://www.benecard.com
BeneCard PBFBeneCard PBF provides self-funded prescription benefit program administration with a personalized approach through focused, clinical expertise. Our business model operates on a customized claim processing system offering unlimited capability and flexibility to respond to client needs in an evolving marketplace. Advanced clinical programs and advanced technology provide the framework to maximize the use of all data elements available. This allows BeneCard PBF to filter the information, focus on clinical opportunities and facilitate interaction between the physician, the pharmacist and the patient to effectively promote complete health care. Headquartered in Bonita Springs, Florida.Website: http://benecardpbf.com
National Vision AdministratorsFor over 40 years, National Vision Administrators (NVA) has been meeting the vision benefit needs of public employer groups, Health & Welfare Funds, Associations and Coalitions. Providing millions of people throughout the United States with vision care programs that help them be smarter buyers of eye care and eyewear, NVA is particularly well suited to address today's health benefit challenges as it relates to eye care. We offer cost-effective, customized vision benefit programs that are clinically integrated. We are proud of the fact that we have retained over 99% of our clients and believe it is the greatest testimony to the high-quality benefits and service satisfaction we provide to both our clients and their members. Headquartered in Clifton, New Jersey.Website: http://www.e-nva.com
We are an Equal Opportunity employer. - 7 Days Ago
- AIG Claims, Inc.
-
Parsippany, NJ
FULL_TIME
- Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualt...
- 1 Month Ago
- TheBest Claims Solutions
-
Parsippany, NJ
OTHER,PART_TIME
- Senior Casualty Adjuster PARSIPPANY, NJ 07054 | DIRECT HIRE $75,000 TO $90,000 ANNUALLY, DEPENDING ON EXPERIENCE Job Description Our client is seeking to hire a new Senior Casualty Adjuster to their N...
- 20 Days Ago
- AIG Claims, Inc.
-
Parsippany, NJ
FULL_TIME
- Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualt...
- 1 Month Ago
- SCA
-
Sparta, NJ
FULL_TIME
- Overview Today, SCA Health has grown to 11, teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates ...
- Just Posted
- Selective Insurance
-
Branchville, NJ
FULL_TIME
- DescriptionAt Selective, we don't just insure uniquely, we employ uniqueness. Our Business Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consi...
- Just Posted
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About Passaic, New Jersey
were up 1.5% from a year ago