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Average Salary
Updated: 05/18/2013
Medicare Claims Supervisor:
Supervises the Medicare claims processing staff to ensure accurate and timely adjudication of claims. This position typically requires four years of experience in claims processing or auditing.
Supervises the Medicare claims processing staff to ensure accurate and timely adjudication of claims.... [+] More
Medicare Claims Supervisor:
Supervises the Medicare claims processing staff to ensure accurate and timely adjudication of claims. This position typically requires four years of experience in claims processing or auditing.
Supervises the Medicare claims processing staff to ensure accurate and timely adjudication of claims. Provides training and development, communicates policies and procedures, and monitors work production quantity and quality. Reviews and resolves complex claims issues that cannot be resolved by subordinates and releases high dollar claims as needed. Ensures that all claims are processed according to the terms of the plan contract and applicable policies, procedures and department guidelines. Oversees documentation of claims and billing forms to support claim decision, payment or denial. In addition to supervisory skills, must have knowledge of discipline equal to or exceeding that of direct reports. Typically supervises more than 8 Claims Adjudicators. Tracks and monitors claims volume and age of inventory. Submits statement of claim liabilities to accounting for review. Interprets company policy to employees and enforces company policy and practices. Reviews and analyzes processes, procedures and workflows to identify opportunities for process improvement and efficiency. Prepares regular periodic reports and reviews/monitors system reports to ensure adherence to corporate and regulatory standards within established guidelines. Monitors the work flow process to ensure that work is distributed appropriately. This position typically requires four years of experience in claims processing or auditing. May be called upon to manage unit(s) in the absence of the Claims Manager. May recruit, hire, train staff, evaluate employee performance, and recommend or initiate promotions, transfers, and disciplinary action. (Source: eDOT Job Description) [-] Less
Cost of Living Data
A renter's cost of living for someone making $54,022 in Winter Haven, Florida is 92.2% of the US National Average. For more information, or to compare cost of living data between two cities, click here.
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