Supervisor, Medicaid Claims Reviewer

Why consider this job opportunity:

• Salary up to $ annually
• Comprehensive benefits package including career advancement opportunities and recognition programs
• Flexible remote work option available from most U.S. states
• Supportive and collaborative work environment focused on professional growth
• Opportunity to lead and mentor a dedicated team in a mission-driven organization

• Supervise and manage a team of claims reviewers to ensure accurate and timely healthcare claims processing
• Oversee claims review and analysis to ensure compliance with healthcare regulations and organizational policies
• Resolve escalated or complex claims issues, ensuring appropriate adjudication and dispute resolution
• Monitor team performance, provide feedback, and conduct regular evaluations to support professional growth
• Collaborate with billing, coding, and compliance teams to ensure adherence to regulatory and payer standards

• Bachelor's degree required (experience can be considered in lieu of degree)
• At least 3-5 years of experience in healthcare claims review or processing required
• At least 1-2 years of experience in a senior or leadership role required
• Strong knowledge of healthcare claims processes, coding (CPT, ICD-10), and payer regulations
• Excellent leadership, communication, and problem-solving skills

• Certified Professional Coder (CPC) certification preferred
• Proficiency in claims processing software and healthcare management systems
• Strong attention to detail and the ability to manage multiple tasks and priorities

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