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Central California Alliance for Health
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Claims Supervisor - Claims Technicians (Remote in CA)
$97k-120k (estimate)
Full Time 3 Weeks Ago
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Central California Alliance for Health is Hiring a Remote Claims Supervisor - Claims Technicians (Remote in CA)

We have an opportunity to join the Alliance as a Claims Supervisor - Claims Technicians in the Claims Department. This is a remote position and can be filled within any of our Alliance counties. 

 

WHAT YOU'LL BE RESPONSIBLE FOR

This position:

  • Coordinates and oversees daily claims processing operations, and assists with management of the claims inventory functions
  • Supervises, mentors, and trains assigned staff
  • Carries out department goals and objectives, measurements of performance, policies, and procedures, and ensures performance and work product quality standards are met

ABOUT THE TEAM

We coordinate, manage and evaluate the claims processing system.

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description, and list of requirements click here

  • Knowledge of:
    • Claim processing functions
    • Medical terminology, related procedures and diagnostic coding, and knowledge of how to access available resource tools
    • The methods and techniques of research, analysis and reporting
  • Ability to:
    • Supervise, train and evaluate the work of staff
    • Motivate staff and promote an atmosphere of teamwork and cooperation
    • Plan, organize and prioritize tasks and work schedules, manage projects, and adhere to timelines
    • Identify issues, conduct research, gather and analyze information, reach logical and sound conclusions, and make recommendations for action
    • Train staff on function of claims operations
    • Exercise diplomacy and tact
    • Work independently, apply sound judgment, and make decisions related to areas of functional responsibility
  • Education and Experience:
    • Bachelor's degree in Social Services, Health Sciences, Business, Psychology or a related field
    • A minimum of three years (or a Master's degree and a minimum of two years) of experience with claims processing in an automated environment which included staff supervision or lead worker experience; or an equivalent combination of education and experience may be qualifying

 

OTHER INFORMATION

  • We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
  • While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
  • In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.

The full compensation range for this position is listed by location below. 
The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).

Job Summary

JOB TYPE

Full Time

SALARY

$97k-120k (estimate)

POST DATE

05/22/2024

EXPIRATION DATE

07/20/2024

WEBSITE

ccah-alliance.org

HEADQUARTERS

Scotts Valley, CA

SIZE

200 - 500

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