Claims Team Supervisor Jobs

The Claims Supervisor is responsible for supporting the Director of Claims with building, developing, and providing leadership for a team of employees who help navigate claims, reimbursements, and reimbursement inquiries. The team consists of Provider Claim Specialists. The Supervisor supports the Director in setting and upholding the tone of the team by creating an environment that fosters confidence in assisting our providers and clients while also fulfilling their job responsibilities. A successful Supervisor will facilitate intradepartmental relationships, inspire collaboration, assist with member development and training, drive results through data management, and create efficiencies in assisting providers and clients.

Responsibilities And Duties

Talent Management

• Provide coaching and development to team members
• Supports Director of Revenue Cycle Management by owning, reporting, tracking, and managing of defined KPI’s
• Communicates information to team with respect to provider expectations
• Support Director of Revenue Cycle Management in hiring, developing, and retaining talent
• Handle second level provider, and client escalations
• Partners with Director of Revenue Cycle Management to ensure effective provider implementation and keeping the account management contact aware of issues and trends
• Supports Director of Revenue Cycle Management with driving defined metrics to achieve client, company, and provider experience goals
• Provides functional guidance, training, and assistance to Provider Claim Specialists
• Responsible for helping our Provider Claim Specialists get answers to questions, resolution to issues and support for initiatives which help improve the provider experience
• Provide coaching and development to Provider Claim Specialists
• Identifies and resolves problems to ensure provider, client, and member customer service is maintained at the highest level and communicates noticeable trends to Director of Revenue Cycle Management for escalation
• Communicate information regarding business metrics, and provider satisfaction, and productivity

Business Operations

• Consistently monitors and reviews team data to drive provider satisfaction, change management, and SLAs
• Schedules work to ensure accurate coverage, monitors productivity and shifts escalations to assure resolution to problems
• Prepares standard reports to track workload, response time and quality of input
• Utilize data and observations to complete recurring one-on-one feedback templates and deliver feedback to direct team.
• Assists in planning and implementing department goals and makes recommendations to senior management to improve efficiency and effectiveness
• Delegates and manages success of special project allocation to appropriate team members as determined by business needs

Other Responsibilities

• Partners with Director of Revenue Cycle Management to ensure effective provider implementation and keeping the account management contact aware of issues and trends
• Handle second level provider, and client escalations
• Identifies and resolves problems to ensure provider, client, and member customer service is maintained at the highest level and communicates noticeable trends to Director of Revenue Cycle Management for escalation
• Communicates information to team with respect to provider expectations
• Responsible for helping our Provider Claim Specialists get answers to questions, resolution to issues and support for initiatives which help improve the provider experience

Requirements

Responsibilities and Duties

• Ability to work effectively in a team environment
• Ability to effectively organize work activities to meet deadlines
• Strong written and verbal communication skills
• Ability to manage up to 8 Provider Claim Specialists
• Motivated team play with a positive attitude and ability to work in fast-paced environment
• Strong critical thinking and problem-solving skills
• Proven ability to deliver results in a service-based healthcare or insurance environment
• Must be comfortable being able to multitask and solve problems
• Advance experience utilizing Microsoft application
• Preferred 2 or more years of experience in healthcare space

Key Competencies

• Positivity
• Communication skills
• Planning and organization
• Teamwork
• Data analysis
• Adaptability
• Leadership
• Customer obsessed

Benefits

• Medical Insurance
• 401k with company match
• Dental Insurance
• Paid Time Off
• Life Insurance
• Competitive Hourly Wage
• Vision Insurance
• Short & Long Term Disability
• Paid Parental Leave
• Highly Competitive Monthly Bonus Program

Location: 100% onsite in Dallas, TX

Salary/Exempt Position