Supervisor Health Plan Operations - USFHP
Job Description
Organizes and directs daily activities and department workflows to ensure accurate claims adjudication and payment integrity processes under the supervision of the Director of USFHP Health Care Operations. Responsibilities include ensuring accurate and timely accounting to Pacific Medical Center’s revenues and expenses for Outside Purchased Services (OPS), timely and accurate processing of claims and materials needed for accurate adjudication of claims. The ideal Supervisor will have experience with medical coding and claim auditing.