Medical Claims Supervisor

Yodawy

Supervise and manage the medical claims processing team, ensuring accurate and timely claims submission.

Lead and supervise various quality projects to enhance the quality of submitted claims.

Resolve processing team issues and follow up to ensure continuous improvement.

Collaborate with other departments to resolve any issues related to the Claims Team.

Manage all incoming and outgoing emails to ensure the smooth flow of documents.

Coach and train new team members on policies, procedures, and medical guidelines.

Provide medical guidance to Claims Department staff.

Address queries from providers and insurance companies related to acute and chronic claims.

Lead and supervise training sessions, including team meetings and one-on-one sessions, and prepare

• Bachelor s degree in Pharmacy
• Exemption from any current governmental mandates.
• 3+ years of experience in a similar role, familiarity with medical claims processing and insurance reimbursement procedures.
• Strong interpersonal and negotiation skills.
• Ability to thrive in a fast-paced environment and manage stress effectively.
• Detail-oriented with strong organizational skills.
• Ability to work both independently and as part of a team.
• Fluency in English (written and spoken)
• Proficiency in Microsoft Office, especially Excel.