Skip to main content

Search Open Positions

Claims Examiner Supervisor

Job ID: 2105035579 Date posted: 11/07/2021 Facility: Conifer Health Solutions
Apply Now

Job Details

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

JOB SUMMARY

Responsible for the resolution of claims issues, including partnering with client delivery and providers.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

  • Supervise a team of claims personnel.
  • Manage claims inventory for multiple companies according to state and federal guidelines utilizing inventory management systems and reports.
  • Team with other departments to resolve departmental/employee issues.
  • Review and update policies and procedures.
  • Manage the work behaviors of all subordinate staff. Coach, counsel and reward as appropriate to individual performance. Deliver monthly/annual performance reviews.

SUPERVISORY RESPONSIBILITIES

If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

Direct Reports (titles) Claims Leads, Claims Examiners, Project Coordinators, Adjusters



Qualifications:

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.

KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • General office equipment experience
  • Must have an excellent understanding of health and managed care concepts and their application in the adjudication of claims.
  • Strong working knowledge of ICD.9.CM, CPT, HCPCS, RBRVS coding schemes and medical terminology.

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience preferred to perform the job.

  • High School Diploma or Equivalent
  • 5-6 years Supervisory/Management experience preferred.
  • 2-3 years claims experience in a managed care environment preferred.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Must be able to work in sitting position, use computer and answer telephone
  • Ability to travel (minimal)
  • Light physical effort (lift up to 10lbs). Regularly needs to be able to bend, stoop and reach to file.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Office Work Environment
Job: Conifer Health Solutions
Primary Location: Encino, California
Job Type: Full-time
Shift Type: Days

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.

E-Verify: http://www.uscis.gov/e-verify

Sign up for Job Alerts

From roles that are right for you to new opportunities, we’ll keep you up to date with job openings and more. Select a category or location of interest below and click the add button.

Interested In (visually hidden)

  • Conifer Health Solutions, El Encino, California, United StatesRemove

Jobs for You

Nurse with mother and newborn

Tenet - A Community
Built on Care.

Across the country, the Tenet family includes 110,000 employees working in more than 65 hospitals and over 475 outpatient centers. We’re all focused on delivering the right care in the right place at the right time.

At Tenet, the impact of our work spreads far and deep across the many dimensions of healthcare that we touch. Every day, our employees and physicians foster a compassionate environment for care and healing in the communities we serve. We take pride in what we do, we are passionate about our chosen path, and we take seriously the true privilege we have in serving others as a Community Built on Care.

Learn About Opportunities Across Tenet
Top of page