Claims Supervisor Position Available In Davidson, Tennessee
Tallo's Job Summary: The Claims Supervisor position requires 10+ years of experience in medical claims processing, with expertise in Physician and Facility Claims, CPT Codes, UB04s, HICFA Forms, DRGs, ICD-10, and Appeals processes. The role involves leading a remote team, addressing complex claims, and collaborating with internal teams. The company is dedicated to creating inclusive work environments.
Job Description
Job Description Support a remote claims processing team, including coordination with an offshore team based in India. Assisting with end-to-end claims process, ensuring accuracy, timeliness, and compliance. Assist with Processing & Review on complex claims, including Physician and Facility claims. Provide expert guidance on CPT codes, UB04s, HICFA forms, DRGs, ICD-10, and appeals. Address and resolve escalated claims issues and inquiries. Collaborate with internal teams via Microsoft Teams, phone, and email. Maintain documentation and reporting for claims activities and quality metrics. We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form (https://airtable.com/app21VjYyxLDIX0ez/shrOg4IQS1J6dRiMo) . The EEOC “Know Your Rights” Poster is available here (https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf) . To learn more about how we collect, keep, and process your private information, please review
Insight Global’s Workforce Privacy Policy:
https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements 10+ years of experience in medical claims processing. Proven experience in a leadership, supervisory, or quality assurance role.
Strong knowledge of:
Physician and Facility Claims CPT Codes, UB04s, HICFA Forms Audit Codes and Billing DRGs and ICD-10 Appeals processes Experience working in a fully remote environment. Familiarity with Medicare and Medicaid claims. Experience interacting with clients and building professional relationships. Background in government contracts or correctional facilities or healthcare facilities. Prior experience supporting or managing offshore teams. null We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.
