New York Licensed Medical Claims Supervisor

Job Summary

A company is looking for a Medical Claims Supervisor, Ops (Remote).

Key Responsibilities

• Manage daily operations and employee workflow within the department
• Train, mentor, and oversee staff performance, ensuring compliance with policies and procedures
• Develop and implement workflow changes to enhance service and production efficiency

Required Qualifications

• Minimum high school diploma with three years of related experience in healthcare or managed care
• At least two years of experience in a leadership role
• State licensure certification may be required within six months of hire
• Knowledge of claims processing and provider billing practices
• Familiarity with medical coding systems and data resources preferred