Claims Process Operations Supervisor Salary in Fresno, CA

Claims Process Operations Manager - Average Salary $103,499

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Claims Process Operations Director - Average Salary $165,563

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Medical Claims Operations Supervisor - Average Salary $73,300

The Medical Claims Operations Supervisor ensures the accurate and timely disposition of claims and resolves matters according to coverage amounts and company procedures. Supervises the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Being a Medical Claims Operations Supervisor reviews and resolves escalated issues. Provides guidance to staff on more complex or high-value claims. In addition, Medical Claims Operations Supervisor requires a high school diploma. Typically reports to a manager. The Medical Claims Operations 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. Working as a Medical Claims Operations Supervisor typically requires 3 years experience in the related area as an individual contributor. Thorough knowledge of functional area under supervision.

Claims Processing Supervisor - Healthcare - Average Salary $73,216

Claims Processing Supervisor - Healthcare 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 - Healthcare provides guidance to staff on more complex or high-value claims. Reviews and resolves escalated issues. Additionally, Claims Processing Supervisor - Healthcare requires a high school diploma. Typically reports to a manager. The Claims Processing Supervisor - Healthcare 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 - Healthcare typically requires 3 years experience in the related area as an individual contributor. Thorough knowledge of functional area under supervision.

Provider Claims Process and Controls Analyst - Average Salary $95,600

The Provider Claims Process and Controls Analyst recommends a policy and process that ensure alignment with company guidelines and nationally accepted medical/coding standards. Researches and designs criteria to determine policy guidelines used in review of patient cases to ensure only medically appropriate services are reimbursed. Being a Provider Claims Process and Controls Analyst responds to questions from medical staff and communicates details about policy and guidelines. Establishes the proper codes to use for claims processing. In addition, Provider Claims Process and Controls Analyst requires a bachelor's degree. Typically reports to a supervisor or manager. Requires Registered Nurse RN. Being a Provider Claims Process and Controls Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. Working as a Provider Claims Process and Controls Analyst typically requires 2 to 4 years of related experience.