Claims Processing Supervisor jobs in Alaska

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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Claims Supervisor Claims (Hybrid Anchorage, Alaska)
  • Gainwell Technologies LLC
  • Anchorage, AK FULL_TIME
  • Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at HMS, a Gainwell Company carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.


    Summary

    As a Supervisor at Gainwell, you will be a part of an innovative product company with a mission to serve the healthcare needs of our communities. You will use your supervisory and analytical skills to drive your team's consistent improvement and success while maintaining the highest quality standards throughout the service lifecycle. Most importantly, you’ll have the chance to grow and develop as a professional through our exceptional developmental opportunities.

    Your role in our mission

    Gainwell empowers you through innovative technologies and solutions to deliver better health and human services outcomes. When joining Gainwell, you will:

    • Build, develop, and lead a team(s) of individual contributors, supporting employees and the execution of day-to-day operations.
    • Establish and effectively lead routines at a regular cadence and utilize tools and reporting to drive team performance; train and provide ongoing coaching (account-specific metrics, AHT, APT, Occupancy, Utilization, Quality scores, etc.) to ensure employee engagement while maintaining client satisfaction.
    • Participate in client-related activities, including project planning and client calibration sessions; ensure employee adherence to company, client, and regulatory policies.
    • Work with employees and operational leaders to achieve Client Service Level Agreements (SLAs); serve as a point of escalation and support team members by handling escalated calls and customer inquiries.
    • Create conditions for success by removing obstacles and championing change to drive employee awareness and a connection to their work and contributions.

    What we're looking for

    • 4 or more years of supervisory experience and healthcare, healthcare technology and delivery, or MMIS business process outsourcing.
    • Proficient with Microsoft Office suite and hardware and software applications to manage contact center and back-office operations (Cxone, Verint, Avaya, etc.).
    • Knowledge of two or more MMIS business operational areas such as Claims Processing, Authorized Services, Customer Centers, Mailroom, Pharmacy, Provider Enrollment, or Provider Relations SURS is also preferred.
    • Strong analytical and problem-solving skills to interpret and effectively utilize data to support your team.
    • Strong written and oral communication skills to work effectively with team members, customers, and clients.
    • Ability and discernment to make decisions and proactively solve challenges in a fast-paced environment.

    What you should expect

    • Hybrid position with home office in Alaska.
    • Opportunities to travel through your work (up to 25%)

    #LI-HYBRID

    # #LI-LS2


    The pay range for this position is $54,200 - $77,400 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at HMS, a Gainwell Company. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.


    We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with HMS, a Gainwell Company, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about HMS, A Gainwell Technologies Company at our company website and visit our Careers site for all available job role openings.


    HMS, a Gainwell Company
    is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

  • 5 Days Ago

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Advanced Practice Nurse (Nurse Practitioner)
  • U.S. Military Entrance Processing Command
  • Anchorage, AK FULL_TIME
  • Duties Perform applicant physical examinations in accordance with agency standards and assist with applicant medical processing at a Military Entrance Processing Station (MEPS). Ensure the confidentia...
  • 5 Days Ago

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MEDICAL TECHNICIAN
  • U.S. Military Entrance Processing Command
  • Anchorage, AK FULL_TIME
  • Duties Maintain applicant’s medical record during the examination process. Manage medical consultations to include verifying doctor’s orders or requests from the Service liaisons. Perform customer ser...
  • 27 Days Ago

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Test Administrator
  • U.S. Military Entrance Processing Command
  • Anchorage, AK FULL_TIME
  • Duties Conducts specified aptitude examination sessions ranging in size from 1 to 40 person (enlistment tests), and 1 to 250 persons (student tests). Instruct applicants on testing procedures and star...
  • 1 Month Ago

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Lead Human Resources Assistant (Military/Office Automation)
  • U.S. Military Entrance Processing Command
  • Anchorage, AK FULL_TIME
  • Duties Administer required briefings to applicants concerning Military Entrance Processing Command (MEPS) procedures. Greet visitors and applicants to the MEPS. Operate a keyboard to record and transc...
  • 1 Month Ago

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Sales Processing
  • PeopleAK
  • Anchorage, AK FULL_TIME
  • Sales Support Specialist Anchorage, AK Contract to Perm $25/an hour 60 days from start date Our client: is a fast-growing oil and machinery based company that is looking for a qualified sales support ...
  • 8 Days Ago

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Processing Supervisor
  • Daybreak Foods
  • Eagle Grove, IA
  • Summary Reporting to the Processing Manager, supervise the day to day activities of the workforce in a liquid and shell ...
  • 4/26/2024 12:00:00 AM

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Processing Supervisor
  • Ives & Associates
  • West Jefferson, OH
  • POSITION SUMMARY Position is responsible supervising liquid production areas at the West Jefferson, OH facility and for ...
  • 4/26/2024 12:00:00 AM

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Sterile Processing Coordinator
  • Ascension
  • Brookfield, WI
  • Details Department: Sterile Processing Schedule: 2:30pm to 11pm Monday - Friday Flexibility on weekends when staffing ne...
  • 4/25/2024 12:00:00 AM

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Logistics Processing Coordinator
  • Ryder System
  • Warren, MI
  • Job Seekers can review the Job Applicant Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-polic...
  • 4/24/2024 12:00:00 AM

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Processing Supervisor
  • Ives & Associates
  • West Jefferson, OH
  • POSITION SUMMARY: Position is responsible supervising liquid production areas at the West Jefferson, OH facility and for...
  • 4/23/2024 12:00:00 AM

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Processing Supervisor
  • Michael Foods
  • Klingerstown, PA
  • Business Unit Overview Michael Foods, Inc. is a leader in the food processing and distribution industry with business in...
  • 4/23/2024 12:00:00 AM

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Processing Supervisor
  • Channel Control Merchants LLC
  • Blue Mountain, MS
  • Increase operational effectiveness of product processing as measured by Safety, Quality, Delivery, Costs and Inventory (...
  • 4/22/2024 12:00:00 AM

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Sterile Processing Coordinator
  • Ascension
  • Mequon, WI
  • Details Department: Sterile Processing Schedule: Days Mid-Shift, 40hrs/wk, 10am to 6:30pm as needed. Hospital: Columbia ...
  • 4/22/2024 12:00:00 AM

Alaska is the northernmost and westernmost state in the United States and has the most easterly longitude in the United States because the Aleutian Islands extend into the Eastern Hemisphere. Alaska is the only non-contiguous U.S. state on continental North America; about 500 miles (800 km) of British Columbia (Canada) separates Alaska from Washington. It is technically part of the continental U.S., but is sometimes not included in colloquial use; Alaska is not part of the contiguous U.S., often called "the Lower 48". The capital city, Juneau, is situated on the mainland of the North American ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Supervisor jobs
$73,588 to $90,282

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