Claims Processing Supervisor jobs in San Diego, CA

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)

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Supervisor, Lab Specimen Processing
  • Millennium Health
  • San Diego, CA FULL_TIME
  • Millennium Health, based in Rancho Bernardo, is a leading health solutions company that delivers timely, accurate, clinically actionable information to inform the right treatment decisions for each patient at the right time. The company shares a unified belief that everyone has the right to safe and effective medicine and aims to deliver on that idea by providing clinicians with effective tools and information to reach that goal.

    We have an opening on our Lab Operations Team for a Supervisor, Lab Specimen Processing.

    Schedule:

    Tuesday - Saturday. Tuesday - Friday 6am start. Saturday 9am start.

    The Lab Specimen Processor Supervisor is responsible for managing the Lab Specimen Processor staff and the pre-analytical functions of specimen opening, lab support, test entry, aliquoting, centrifugation, batching and racking to ensure that all operational procedures and processes are followed including regulatory compliance within the laboratory.

    ESSENTIAL FUNCTIONS

    The following are intended to be examples of the accountabilities for which the person in this position is responsible. This position description is not intended to be complete or all-inclusive and does not preclude management from assigning other or related functions for which the individual has demonstrated competency through performance.

    • Manage the day-to-day activities of the Lab Specimen Processors including time and attendance, work schedules, time off requests, performance evaluations and disciplinary actions.
    • Plan, coordinate and supervise all functions within the laboratory including specimen opening, lab support, test entry, aliquoting, centrifugation, batching and racking.
    • Provide leadership, guidance, coaching and mentoring for all staff through regularly scheduled one-on-ones.
    • Initiate and conduct progressive disciplinary process when appropriate; involve HR as needed.
    • Responsible for training, scheduling, budgeting, supply maintenance and coordination with department administration and additional laboratory staff.
    • Ensure services being completed are of the best accuracy and are being carried out in an efficient manner within the standards and guidelines of current accreditations.
    • Responsible for being aware of safety issues and work in a safe manner in the lab at all times.
    • Understand the flow of the specimen through the lab and how each cell influences the flow of the specimen. Identify and implement process improvements.
    • Monitor employees’ productivity and take appropriate action to minimize overtime.
    • Knowledgeable of CAP regulatory requirements and other clinical laboratory audits and procedures.
    • Ensure appropriate training and competencies are met.
    • Ensure preventive maintenance on equipment and printers and promptly reports issues/problems.
    • Ensure audit-readiness in the lab at all times and follows up on issues/concerns associated with visits from regulatory/accrediting agencies.
    • Assist during internal and external laboratory inspections, to ensure compliance with applicable federal, state and local regulations and company standards.
    • Ensure Laboratory Occurrence Management (LOM) forms are completed for anomalies; organize and implement corrective action procedures as necessary.
    • Review accuracy of employee timecards and approve timecards daily.
    • Interview prospective Laboratory Specimen Processor employees.
    • Attend organizational meetings with team leads and provide feedback and updates to department.
    • Review and approve SOPs for the department. Ensure that SOPs are current.
    • Provide for the development and growth of Leads.
    • Demonstrate understanding of HIPAA laws and ability to maintain confidentiality.

    SECONDARY ACCOUNTABILITIES

    Remains aware of evolving needs and opportunities, showing flexibility in doing whatever is appropriate to support the Company’s success. Pursues educational opportunities to maintain advanced and up-to-date knowledge in the field. Performs all other related duties as required and assigned and understands that the items in this description are not all-inclusive.

  • 2 Days Ago

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Supervisor, Sterile Processing
  • Kaiser Permanente
  • San Diego, CA OTHER
  • Job Summary: Supervises the day to day operations of the Sterile Processing Department on all shifts. The Sterile Processing Department is responsible for the Decontamination, Set Assembly/ Preparatio...
  • 3 Days Ago

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Supervisor, Sterile Processing
  • Kaiser Permanente
  • San Marcos, CA OTHER
  • Job Summary: Supervises the day to day operations of the Sterile Processing Department on all shifts. The Sterile Processing Department is responsible for the Decontamination, Set Assembly/ Preparatio...
  • 3 Days Ago

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Claims Compliance Supervisor
  • COMMUNITY HEALTH GROUP
  • Chula Vista, CA OTHER
  • Job Details Job Location: Corporate Headquarters - Chula Vista, CA Salary Range: $76,605.43 - $88,096.25 Salary/year DescriptionPOSITION SUMMARY Responsible for Claims Department and Provider Services...
  • 9 Days Ago

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Claims Supervisor (Workers' Compensation)
  • Elite
  • San Diego, CA FULL_TIME
  • Hybrid Schedule: Requires at least one day per week working in the office in San Diego. POSITION TITLE: Claims Supervisor POSITION SUMMARY: The Claims Supervisor will be overseeing client accounts tha...
  • 30 Days Ago

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Claims Supervisor (Liability)
  • CorVel Brand
  • San Diego, CA FULL_TIME
  • CorVel in is seeking a Liability Claims Supervisor. The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are ...
  • 2 Months Ago

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0 Claims Processing Supervisor jobs found in San Diego, CA area

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Human Resources Specialist
  • Nucleus Biologics
  • San Diego, CA
  • Nucleus Biologics™, The Cell Performance Company™, is the leading provider of custom cell-growth media, tools, and techn...
  • 4/18/2024 12:00:00 AM

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Quality Control Manager
  • Clark Construction Group
  • San Diego, CA
  • Quality Control Manager Job Description The qualified Quality Control Manager will ensure the project is built within co...
  • 4/18/2024 12:00:00 AM

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Digital Transformation Project Manager - Remote!
  • Beacon Hill Staffing Group
  • San Diego, CA
  • Digital Transformation Project Manager Long-term, remote contract Ultimately the person will be driving the delivery of ...
  • 4/18/2024 12:00:00 AM

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CEQA Deputy Project Manager
  • ENVIRONMENTAL SCIENCE ASSOCIATES
  • San Diego, CA
  • Job Details Level Experienced Job Location San Diego Office - San Diego, CA Remote Type Hybrid Position Type Full-Time E...
  • 4/18/2024 12:00:00 AM

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Vice President, Technology Portfolio Management
  • Confidential
  • San Diego, CA
  • Vice President, Technology Portfolio Management About the Company Profitable broker & financial advisory firm Industry F...
  • 4/18/2024 12:00:00 AM

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Human Resources Specialist
  • Nucleus Biologics
  • San Diego, CA
  • Nucleus Biologics, The Cell Performance Company, is the leading provider of custom cell-growth media, tools, and technol...
  • 4/16/2024 12:00:00 AM

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Senior Clinical Research Coordinator (CRC III)
  • Headlands Research
  • San Diego, CA
  • Overview: Artemis Research is a leading principal investigator- and patient-focused clinical research company dedicated ...
  • 4/15/2024 12:00:00 AM

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Bartender
  • Romano's Macaroni Grill
  • Oceanside, CA
  • The Bartenders role is to provide Guest First service at all times, making the Guest the heart and passion of all they d...
  • 4/14/2024 12:00:00 AM

According to SDSU professor emeritus Monte Marshall, San Diego Bay is "the surface expression of a north-south-trending, nested graben". The Rose Canyon and Point Loma fault zones are part of the San Andreas Fault system. About 40 miles (64 km) east of the bay are the Laguna Mountains in the Peninsular Ranges, which are part of the backbone of the American continents. The city lies on approximately 200 deep canyons and hills separating its mesas, creating small pockets of natural open space scattered throughout the city and giving it a hilly geography. Traditionally, San Diegans have built the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Supervisor jobs
$72,575 to $89,038
San Diego, California area prices
were up 2.6% from a year ago

Claims Processing Supervisor in New Bedford, MA
Claims processing supervisor with a bachelors degree and three years related exp is needed for a full-time, temporary opportunity.
February 19, 2020