Claims Processing Supervisor jobs in Ventura, 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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Medical Claims Processing
  • Community Memorial Healthcare
  • Ventura, CA OTHER
  • Compensation

    Salary Range: $18.36 - $27.67 / hour

     

    The pay range above represents the lowest possible rate for the position and the highest possible rate. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. If you are viewing this posting on a job site, please visit our company page and search for the opportunity to view the pay range: https://careers-mycmh.icims.com/jobs

    Pay for PRN positions is calculated differently than Full-Time, Regular Part-Time, and Part-Time positions. PRN Rates depend on the position and other factors, including years of experience, or shift commitment according to the department policy. PRN differential is added in certain positions.

    Responsibilities

    Position Overview:

     

    Responsible for correcting all electronic 837 claims that have been flagged for various billing correction. Verify all claims transmissions to insurance companies for all billing systems and working all claims denials.

     

    Qualifications

    Required:  

    • High school diploma or general education degree (GED)
    • At least 1 year of Medical Claims Processing experience.

    Preferred: 

    • Associates degree in related field

    Overview

    When it comes to quality, we're 5 Star!

     

     

    Community Memorial Health System was established in 2005 when Community Memorial Hospital in Ventura merged with Ojai Valley Community Hospital. It is comprised of these two hospitals along with a network of primary and specialty care health centers serving various communities across west Ventura County. Our health system is a community-owned, not-for-profit organization. As such, we are not backed by a corporate or government entity, nor do we answer to shareholders. We depend on – and answer to – the communities we serve.

     

    Community Memorial Hospital – Ventura has been awarded a prestigious five-star rating by the Centers for Medicare & Medicaid Services (CMS)! This achievement represents thousands of people going the extra mile every day for our patients, and we are the ONLY hospital in Ventura County to earn this distinction!

     

     

    Community Memorial Healthcare Benefits

    To help heal, comfort, and promote health for the communities we serve, Community Memorial Healthcare takes care of our community of employees so our local community can be cared for. That’s why we provide competitive benefits, along with great career choices, training, and leadership development. Our total rewards package provides benefits that support you and your family’s health and wellness in all aspects of life. From our top tier insurance plans to our employee assistance program, take advantage of what CMH has to offer so you and your loved ones can have peace of mind now and for years to come. CMH is here for you and your family every step of the way.

     

    • Competitive Pay
    • Shift Differentials
    • In-House Registry Rates
    • Fidelity 403(b) Retirement Plan
    • Paid Time Off
    • Medical (EPO/PPO), Dental, & Vision Insurance Coverage
    • Voluntary Worksite Benefits
    • Employee Assistance Program Available 24/7 (EAP)
    • Tuition Reimbursement
    • Public Service Loan Forgiveness (PSLF)
    • Recognition programs
    • Employee service recognition events
    • Home, Retail, Travel & Entertainment Discounts
    • National Hospital Week and National Nurses Week celebrations

     

    Community Memorial Healthcare is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. We strive to promote an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work in our community.

    “We are an AA/EEO/Veterans/Disabled Employer”

  • 12 Days Ago

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Claims Analyst
  • ALKEME
  • Thousand Oaks, CA FULL_TIME
  • DescriptionPosition Summary:Looking for a detail-oriented, proactive individual with a passion for assisting clients and ensuring their peace of mind during challenging times. In this role, you will p...
  • 1 Month Ago

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Order Processing
  • Elwood Staffing
  • Oxnard, CA FULL_TIME
  • Order Processing Company In the city of Camarillo is looking for a candidate with experience in Order Processing and experience in standup and cherry-picking forklifts. Company ProfileThis is a great ...
  • 8 Days Ago

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Order Processing
  • Elwood Staffing
  • Camarillo, CA FULL_TIME
  • Order Processing Company In the city of Camarillo is looking for a candidate with experience in Order Processing and experience in standup and cherry-picking forklifts. Company ProfileThis is a great ...
  • 9 Days Ago

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Field Claims Investigator (1099)
  • Konkordia Phoenix PLC, Inc.
  • Thousand Oaks, CA CONTRACTOR
  • Position: Field Claims Investigator Job Type: 1099 / Contracted Work Location 50% working from home. 50% working in the field Compensation: $20/hr and $.67/mile COMPANY OVERVIEW Phoenix Loss Control (...
  • 1 Day Ago

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Sterile Processing Technician
  • Trustaff
  • Simi Valley, CA FULL_TIME
  • As a Sterile Processing Technician, you are a critical part of ensuring a clean, pathogen-free patient environment. Sterile Processing Techs document, inspect, and decontaminate medical instruments an...
  • 7 Days Ago

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0 Claims Processing Supervisor jobs found in Ventura, CA area

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Finance Director, Global Assistant Controller
  • Flextronics
  • Oxnard, CA
  • Job Description: Nextracker's Finance Director, Global Assistant Controller position will collaborate with the entire fi...
  • 4/26/2024 12:00:00 AM

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Assistant Manager - Oxnard Outlet
  • Design Within Reach
  • Oxnard, CA
  • **Assistant Manager - Oxnard Outlet** at Design Within Reach Oxnard, California The Outlet Assistant Manager will partne...
  • 4/26/2024 12:00:00 AM

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Project Manager
  • Lennar Homes
  • Ventura, CA
  • Overview Welcome Home! Build your career with Lennar: As one of the nation’s largest builders, Lennar has built over one...
  • 4/24/2024 12:00:00 AM

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Printing Department Manager (Cook Pak)
  • Bunzl Distribution NA
  • Oxnard, CA
  • ** Printing Department Manager (Cook Pak)** **Job Category****:** Production **Requisition Number****:** USA1808447 Show...
  • 4/24/2024 12:00:00 AM

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Project Manager
  • Modern Space Los Angeles, Inc.
  • Oxnard, CA
  • Job Description Job Description Role summary The Modern Space Project Manager is a client-facing role, the key interface...
  • 4/24/2024 12:00:00 AM

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Project Coordinator
  • Deploy HR - Rancho
  • Oxnard, CA
  • Job Description Job Description The qualified candidate will be capable of working in a fast-paced environment, respondi...
  • 4/23/2024 12:00:00 AM

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Sanitation Lead
  • Deploy HR -Oxnard
  • Oxnard, CA
  • Job Description Job Description The Sanitation Technician position is a role that supports the sanitation and cleaning p...
  • 4/23/2024 12:00:00 AM

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Branch Supervisor
  • VENTURA COUNTY CREDIT UNION
  • Port Hueneme, CA
  • Job Details Job Location PORT HUENEME - Port Hueneme, CA Salary Range $25.00 - $32.00 Hourly At VCCU, we are proud of th...
  • 4/22/2024 12:00:00 AM

Ventura is located northwest of Los Angeles on the California coast. The western portion of the city stretches north along the Ventura River and is characterized by a narrow valley with steeply sloped areas along both sides. The steep slopes of the Ventura foothills abut the northern portion of the community. Much of the eastern portion is on a relatively flat alluvial coastal plain lying along the western edge of the Oxnard Plain. The Santa Clara River forms the city's southerly boundary with the city limits reaching up to the beginning of the Santa Clara River Valley at the historic communit...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Supervisor jobs
$72,439 to $88,872
Ventura, California area prices
were up 2.5% 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