Claims Resolution Supervisor

Supervising the claims resolution team, the full-time remote Claims Resolution Supervisor will manage review requests and claims projects, ensuring timely and accurate resolutions while providing staff guidance and maintaining compliance with policies. Key responsibilities Supervises daily operations of the claims resolution team, including work assignments, training, and performance management Manages the inventory of provider review requests and claims projects to ensure timely resolution Identifies trends in review requests and claims outcomes, escalating issues and recommending corrective actions Required qualifications Associate's degree required; relevant experience may be considered in lieu of a degree Three to five years of experience in healthcare claims management or billing required One to two years of supervisory or leadership experience preferred Strong knowledge of healthcare billing, coding, and claims regulations Ability to analyze claims and manage a varied inventory of review requests and claims projects