Supervisor, Claims Operations

Role Overview

• Help the Management team monitor the daily work within the Claims department
• Responsible for the training and development of new hires and existing department staff
• Plan and maintain workflows, procedures and policies that enable and encourage optimum performance
• Lead employees to meet Allied’s expectations for productivity, quality, and goal accomplishment
• Assist with development and implementation of workflows to improve consistency and accuracy
• Ensure adherence to privacy and security laws including HIPAA, HITECH
• Monitor all reports including Workflow Manager, Pended claims, Suspended claims, Audits, and Automation
• Attend continuing education classes as required, including HIPAA training
• Lead, coach, motivate and develop team members

Requirements

• High school diploma required
• Bachelor’s degree or equivalent work experience in the healthcare industry preferred
• 3 -5 years of experience in healthcare and/or insurance industry preferred
• 1-3 years prior supervisory experience preferred
• Strong analytical skills
• Knowledge of computer systems
• Knowledge of CPT and ICD-9 coding terminology
• Minimum of 5 years of medical claims analysis and adjudication experience (including dental and vision claims analysis)
• Experience in management and training preferred but not required.

Benefits

• Medical
• Dental
• Vision
• Life and Disability Insurance
• Generous Paid Time Off
• Tuition Reimbursement
• EAP
• Technology Stipend