Supervisor, Medicaid Claims Reviewer
$79.56k/y-$115.72k/y
Mass General Brighama day ago
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RemoteFull-timeMid
Summary
Mass General Brigham is seeking a Supervisor, Medicaid Claims Reviewer to join their team in Somerville, MA. The role involves supervising a team of Medicaid Claims Reviewers and ensuring accurate and timely healthcare claims processing.
About the Role
As a Supervisor, Medicaid Claims Reviewer, you will oversee a team responsible for assessing healthcare claims for accuracy, compliance, and eligibility. Your daily tasks will include managing claims inventory, resolving complex claims issues, monitoring team performance, and collaborating with other departments to improve claims processing. You will also provide training and guidance to team members and ensure adherence to regulatory standards.
About You
Required:
- 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.
- At least 1-2 years of experience in a senior or leadership role.
- Strong knowledge of healthcare claims processes, coding (CPT, ICD-10), and payer regulations.
Preferred:
- Certified Professional Coder (CPC) preferred.
- Excellent leadership, communication, and problem-solving skills.
- Proficiency in claims processing software and healthcare management systems.
Benefits
- Competitive base pay with potential for bonuses based on performance.
- Comprehensive benefits package including health, dental, and vision coverage.
- Career advancement opportunities and professional development programs.
Mass General Brigham
Mass General Brigham is an integrated academic health care system, uniting great minds to solve the hardest problems in medicine for our communities and the world. Mass General Brigham connects a full continuum of care across a system of academic medical centers, community and specialty hospitals, a health insurance plan, physician networks, community health centers, home care, and long-term care services. Mass General Brigham is a nonprofit organization that is committed to patient care, research, teaching, and service to the community. In addition, Mass General Brigham is one of the nation’s leading biomedical research organizations and a principal teaching affiliate of Harvard Medical School.
Somerville, MA