Claims Inspection And Billing Supervisor

Responsible for managing a team of Claim Inspectors and Billing Representatives, working to ensure timely and accurate review of claim requirements through an established checklist and efficient billing management focusing on revenue collection.

Manages volume and ensures that set goals are achieved day in and day out and is also responsible for the Team’s performance and development.

JOB RESPONSIBILITIES :

• Hiring, co-training, and preparing representatives to handle claim and billing review by utilizing the available tools and following different plan guidelines of the insurance.
• Preparing reports and analyzing data to assist management as they determine the campaign’s goals. Including daily task assignments, task rotation and movement, aged tasks monitoring and rush requests completion.
• Identifying operational issues, including escalation of critical items to their immediate managers and onshore counterparts; Determining trends and suggesting possible improvements in process and system/tools.
• Monitoring and evaluating agent performance, providing learning or coaching opportunities, and taking corrective action, if necessary.
• Ability to adapt to and work with the different tools and systems used to carry out duties and responsibilities; Adapts to and demonstrates the ability to deal with frequent changes in the work environment.
• Promotes companies’ culture by ensuring agents understand and comply with the program’s objectives, mission statements, performance standards, and policies; Ensure team compliance to regulations, observes legal and ethical guidelines for safeguarding patient and company confidentiality (HIPAA).
• Working with other supervisors and management team members to support agents and ensure clients satisfaction.
• Other Supervisor duties as assigned.
  
  

• College diploma or equivalent, but more education, especially in management or healthcare, is preferred.
• Minimum of 2 years of experience in healthcare accounts (preferably Revenue Cycle Management work experience).
• Customer service, or supervisory experience may be required.
• Proficiency with technology, especially computers, software applications, and phone systems.
• Exceptional verbal and written communication skills.
• Strong understanding of company products, policies, and services.
• Ability to coach, train, and motivate employees and evaluate their performance.
• Excellent problem solving, leadership, and customer service skills.
• Analytical, efficient, and thorough.
• Ability to remain calm and courteous under pressure and navigate tense situations, especially during busy hours.
  
  

• Fostering Teamwork
• Commitment to Job Deliverables
• Decision making
• Attention to Details
• Attention to Communication
• Customer Orientation
• Analytical Thinking
• Leadership
• Trustworthiness and Ethics
• Problem Solving
• Technical Expertise
• Managing Change
• Managing Performance
• Adaptability
• Initiative
• Interpersonal Skills
• Thoroughness
• Self Confidence
• Stress Management
• Personal Credibility
• Flexibility
  
  

• Excellent interpersonal skills
• Detailed & Team Oriented
• Professional communication & Writing Organization/Time Management Skills