Zelis
Overview
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Sr. Supervisor, Clinical Chart Review
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Zelis . At Zelis, we get stuff done. Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis uses technology built by healthcare experts to drive real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. You are a reflection of your achievements, the knowledge you\'ve gained, and the personal interests that shape who you are. Position Overview
The Sr. Supervisor, Clinical Chart Review is focused on supervising a team of Clinicians performing clinical reviews of facility claims, including UB’s, itemized bills and medical records, to verify billing accuracy and clinical appropriateness. The Supervisor will monitor the Clinical Reviewer’s performance to ensure savings are maximized and captured timely through proper claim handling. Strong leadership experience is required, with the ability to provide recommendations to Nurse Reviewers regarding their claim management. This role provides team and operational support to the Manager, Clinical Chart Review, Sr. Level Clinicians and Operations Analysts as directed by Sr. leadership.
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Join to apply for the
Sr. Supervisor, Clinical Chart Review
role at
Zelis . At Zelis, we get stuff done. Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis uses technology built by healthcare experts to drive real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. You are a reflection of your achievements, the knowledge you\'ve gained, and the personal interests that shape who you are. Position Overview
The Sr. Supervisor, Clinical Chart Review is focused on supervising a team of Clinicians performing clinical reviews of facility claims, including UB’s, itemized bills and medical records, to verify billing accuracy and clinical appropriateness. The Supervisor will monitor the Clinical Reviewer’s performance to ensure savings are maximized and captured timely through proper claim handling. Strong leadership experience is required, with the ability to provide recommendations to Nurse Reviewers regarding their claim management. This role provides team and operational support to the Manager, Clinical Chart Review, Sr. Level Clinicians and Operations Analysts as directed by Sr. leadership.
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