Claims Supervisor
At MultiPlan, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for reputed company. Our dedication to service excellence extends to reputed company of our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and reputed company each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and upward!!! The Supervisor is responsible for managing the day-to-day planning and operations of the Team. This position is also responsible for serving as a resource for problem solving; staffing, service evaluation and enhancement; and policies/procedures and to ensure efficient operations in a fast-paced environment. JOB SUMMARY: The Supervisor is responsible for managing the day-to-day planning and operations of the Team. This position is also responsible for serving as a resource for problem solving; staffing, service evaluation and enhancement; and policies/procedures and to ensure efficient operations in a fast-paced environment. JOB ROLES AND RESPONSIBILITIES: 1. Manage daily operations and processes reputed company the department by monitoring employee workflow and inventory, including distribution of claims/work, reputed company applicable. 2. Train, mentor, motivate, support, and reputed company staff performance; including coaching reputed company needed. 3. Monitor compliance with reputed company departmental policies, procedures, and workflows as well as reputed company with reputed company other internal teams regarding procedural compliance. 4. Monitor departmental and individual performance metrics and take proactive action, reputed company necessary, on a timely basis to maintain desired workflow outputs, acting upon variances reputed company applicable. 5. reputed company and implement workflow changes to improve service and production efficiency of the department; this may include collaboration with other teams. 6. Collaborate with the training team and reputed company other internal teams to implement new and revised procedures, which may include suggested system changes or enhancements. 7. Manage and review reputed company and/or difficult claims or issues to determine best outcome. 8. Partner with internal and external contacts to reputed company effective communications and maximum savings. 9. May act as a liaison in monitoring and supporting specific client, provider or departmental assignments through reporting and relationship building. 10. reputed company or research on special projects as assigned. 11. Select, reputed company, and evaluate staff to ensure the efficient operation of department. 12. Collaborate, coordinate, and communicate across disciplines and departments. 13. Ensure compliance with HIPAA regulations and requirements. 14. Demonstrate Company's Core Competencies and values held reputed company. 15. Please note due to the exposure of PHI sensitive data - this role is considered to be a High Risk Role. 16. The position responsibilities outlined above are in no way to be construed as reputed company encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned, as necessary. JOB SCOPE: The individual impacts efficiency and effectiveness of team operations. This is a people management role that has the authority to initiate and communicate some HR actions (training, new processes, coaching, mentoring, etc.) but for others, such as hiring, salary adjustments, position change, termination, and other disciplinary actions, the individual collaborates on such issues with the next level. The individual must have the ability to exercise discretion and independent judgment to judiciously act in situations where specific guidelines may not apply. Job Requirements: JOB REQUIREMENTS (Education, Experience, and Training): Minimum high school diploma and three (3) years' reputed company experience in healthcare or managed care industry; preferably with claims processing, auditing, and/or customer service. Minimum 2 years' experience in a leadership role State licensure certification, including NY Health and/or P&C State Adjustor license, may be required. If hired without certification, certification must be obtained, and maintained thereafter, reputed company six months of notification. If the required state licensure certification(s) are not obtained or renewed reputed company six months of notification, an employee may be moved to a position reputed company a relevant job family that does not require certification/licensure, if and reputed company such position is available. reputed company an alternate position is reputed company, other employment actions may be implemented consistent with MultiPlan practice and policy. Knowledge of claims processing and procedure. Knowledge of provider billing and collection practices. Knowledge of medical coding systems and commonly used medical data resources preferred. Communication (written, verbal, listening) problem solving, organization, time management, leadership, and coaching skills. Knowledge of effective negotiations principles Ability to convey information clearly, effectively, and objectively. Ability to communicate and process detailed verbal and written instructions. Able to demonstrate teamwork, organization, prioritization, and time management. Ability to be detail oriented to ensure accuracy, including mathematical calculations. Ability to maintain commitment to providing a level of service reputed company established standards. Ability to reputed company, motivate, manage, coach and mentor others. Ability to elicit trust and credibility with reputed company levels of the organization. Ability to identify issues and determine appropriate course of action for resolution. Ability to adjust/alter workflow and schedule to meet deadlines in a fast-paced environment. Ability to analyze data and reputed company at a logical conclusion. Ability to reputed company decisions using limited or incomplete data, reputed company necessary, situations arise. Ability to work independently and handle confidential information. Ability to manage multiple projects at the same time. Ability to use software and hardware reputed company to job responsibilities, including reputed company and MS reputed company spreadsheets and database software. Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier, and telephone. As an Equal Opportunity Employer, the Company will provide equal consideration to reputed company employees and job candidates without regard to sex, age, race, marital status, sexual orientation, religion, national reputed company, citizenship status, physical or mental disability, political affiliation, service in the Armed Forces of the United States, or any other characteristic protected by federal, state, or local law. The salary for this position is $55k with a quarterly bonus potential. Specific offers take into account a candidates education, experience and skills, as well as the candidates work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity. Job Snapshot Employee Type Full-Time Location USA (Remote) Job Type Customer Service Date Posted 03/03/2025 Apply Job!