- Cambia Health Solutions, Inc (Portland, OR)
- Claims Supervisor Remote within WA, OR, UT, IDOnsite/Hybrid can be an option if an office is available in the local area.Primary Job Purpose:This role supports ... workflow, maintaining performance measures and ensuring timely and quality claims processing while adhering to State, Federal and company… more
- Option Care Health (Portland, OR)
- …financial assistance program).Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where ... missing).Assist Patient Registration Supervisor and Manager with special assignments as needed. Supervisory ResponsibilitiesDoes this position have supervisory… more
- Vontier (Salem, OR)
- Leading the Claims team the Supervisor , Claims is responsible for managing a team of Service Account Managers, overseeing the relationships with service ... ensuring the efficient and effective management of service requests. The Supervisor , Claims will play a critical role in driving operational excellence,… more
- Sedgwick (Portland, OR)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead (Auto) **PRIMARY PURPOSE** : To supervise the operation of… more
- Sedgwick (Salem, OR)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult ... surety and surety bond claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Salem, OR)
- …mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Examiner - Liability IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a ... Sedgwick supports and resolves property, general, auto, product and professional liability claims . We help our clients maintain brand protection in times of crisis.… more
- BrightSpring Health Services (Vancouver, WA)
- …a retail to office environment for those who are willing to learn claims , billing and insurance processing. Remote position. Applicants can reside anywhere with the ... * Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...assists with training of new employees, as requested by Supervisor * Provide education to management and team members… more
- BrightSpring Health Services (Vancouver, WA)
- …a retail to office environment for those who are willing to learn claims , billing and insurance processing. Remote position. Applicants can reside anywhere with the ... of claim processing and working with team on training documents* Third Party Claims processing and payer subject matter expert* Provide support to 3rd Party … more
- CareOregon (Portland, OR)
- Job Title Tribal Liaison and Program Supervisor Exemption Status Exempt Management Level Supervisor Direct Reports Tribal Program Specialist, Tribal Liaison JCC, ... communities to promote the health of Tribal people. The Tribal Liaison/Program Supervisor is responsible for facilitating resolution of issues that may arise between… more
- Arrow Dental (Portland, OR)
- We are seeking a full-time Dental Front Office Supervisor for our Arrow Dental Clinic in Portland. This position will provide supervision of the front office and is ... benefits when appropriate 12. Coordinate patient referrals when necessary 13. Prepare claims forms for patients with dental insurance 14. Monitor inventory and order… more
- Highmark Health (Salem, OR)
- …are met. Represent the department in compliance audits as it relates to the supervisor functions. + Act as subject matter expert for benefit plan and claims ... processing + Research and investigate any privacy or compliance concerns (CMS, HIPAA, internal policy, etc).Complete root cause analysis and address remediation process with impacted employees. + Participate in process improvement initiatives as appropriate,… more
- ITW (Tualatin, OR)
- …facilitate resolution of equipment and service complaints. + Process warranty claims , orders, and documentation efficiently. + Frequent sitting, talking, and ... hearing, with occasional walking, use of hands and fingers, and reaching with hands and arms is required for the job. + Specific vision abilities, including close vision for reading blueprints and specifications, are required. + Frequent lifting and carrying… more
- Marriott (Salem, OR)
- …by jurisdiction. This position is responsive to Marriott's associates, Marriott Claims Services, business units, Risk Management and community health resources. ... for optimal outcomes. + Arrange provider interface with business units and claims administration as needed. **Injured Workers** + Contact injured/ill worker by… more
- CareOregon (Portland, OR)
- …Exemption Status Non-Exempt Department Pharmacy Manager Title Pharmacy Benefit Operations Supervisor Direct Reports n/a Requisition # 24256 Pay and Benefits ... requiring Pharmacy Technician Certification. Core responsibilities include customer service, claims processing, prior authorizations, formulary exceptions, appeals, grievances, and… more
- Allied Universal (Portland, OR)
- …Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation ... knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution. + **Auto… more
- Crawford & Company (Portland, OR)
- …with injured worker, employer and physicians. + Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure ... worker/disabled individual. + May obtain records from the branch claims office. + May review files for claims...to ensure a quality product. + Reviews cases with supervisor monthly to evaluate files and obtain directions. +… more
- Mathematica (Salem, OR)
- …large secondary data sources such as Medicaid (T-MSIS, TAF) administrative claims data to effectively answer research questions and guide decision-making about ... and practical knowledge of administrative healthcare data (eg commercial claims , hospital claims , and Medicare or Medicaid...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- CareOregon (Portland, OR)
- …Status Exempt Requisition # 24293 Direct Reports n/a Manager Title Provider Relations Supervisor Pay & Benefits Estimated hiring range $ 70,310 - $85,075 / year, ... Job Summary This position operates in a team leadership capacity, assisting the supervisor (s) with essential unit functions and serving as the first level escalation… more
- Bonneville Power Administration (Vancouver, WA)
- …subordinate employees, while completing assigned job properly and effectively. Inform supervisor of conditions found and work performed. Responsible for Quantity and ... Quality of Specific Tasks. Responsible and accountable to the supervisor for the satisfactory and timely completion of all specific tasks involved in the work… more
- CareOregon (Portland, OR)
- …Exemption Status Exempt Department Provider Relations Manager Title Provider Relations Supervisor Direct Reports n/a Requisition # 24285 Pay and Benefits Estimated ... integral team member. + Work closely with other internal departments, including Claims , Credentialing, and Provider Data; address processes that affect providers and… more
