Healthcare Claims Supervisor

Pride Health is hiring a Healthcare Claims Supervisor to support our client's healthcare facility in Bellaire, TX 77401.
 
Job Details: 
Schedule: Monday- Friday, 8 AM to 4 PM  
Location: Bellaire, TX 77401
Job Type: Local contract 
Contract Length: 3 Months W2 Contract
Pay Range: $32 - $34 per hour

Job Summary
We are seeking an experienced Healthcare Claims Supervisor to lead and manage a team of Claims Examiners and Claims Benefits Specialists. The ideal candidate will oversee daily claims processing operations, monitor team productivity, resolve complex claims issues, and ensure compliance with claims administration standards, Medicaid regulations, and established performance goals.

Key Responsibilities

• Supervise and support Claims Examiners and Claims Benefits Specialists to ensure timely and accurate claims processing.
• Monitor daily workflows, claim volumes, productivity metrics, and service quality.
• Investigate and resolve complex claims processing issues through research and cross-functional collaboration.
• Provide coaching, performance feedback, and training to improve productivity and team effectiveness.
• Assist with recruitment, candidate interviews, and hiring recommendations.
• Coordinate with internal departments and external stakeholders to resolve operational and system-related issues.
• Ensure adherence to Medicaid regulations, claims processing procedures, eligibility requirements, and coding standards.
• Prepare productivity reports, conduct audits, and communicate operational updates to management.

Required Qualifications

• High school diploma or GED.
• Minimum of 5 years of healthcare claims processing experience.
• Prior supervisory or team leadership experience.
• Knowledge of healthcare claims administration, eligibility systems, ICD coding, CPT/HCPCS coding, and Medicaid regulations.
• Strong leadership, communication, problem-solving, organizational, and customer service skills.
• Proficiency in Microsoft Office applications.

Interested? Apply Today! 

#PHCNonClinicalZipFor workers in the United States, PrideGlobal and it's affiliates offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, pet insurance and employee discounts with preferred vendors.

Equal Employment Opportunity
PrideGlobal and it's affiliates are an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.

Fair Chance Employment
PrideGlobal and it's affiliates are a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.

Accommodations
We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.

Only applicable for Kentucky positions: For this type of employment, state law requires a criminal record check as a condition of employment. This applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793.