Remote Assistant Supervisor Claims

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💎 Seniority level: Middle, 3-5 years

📍 Location: United States

🔍 Industry: Healthcare

🏢 Company: external

🗣️ Languages: English

⏳ Experience: 3-5 years

🪄 Skills: LeadershipHR ManagementAdministrative ManagementCommunication SkillsAnalytical SkillsCollaborationProblem SolvingCustomer serviceMentoringNegotiationAttention to detailOrganizational skillsTime ManagementWritten communicationComplianceCoachingInterpersonal skillsAdaptabilityRelationship buildingMS OfficeReportingTrainingActive listeningRecruitmentRisk ManagementTeam managementProcess improvementFinancial analysisChange Management

Requirements:

Strong knowledge of medical insurance claims procedures and regulations
Leadership, coaching, and team management skills
Analytical and problem-solving abilities
Attention to detail and accuracy
Effective communication and interpersonal skills

Responsibilities:

Interviewing, recommending for hire, onboarding, recommending for termination, and offboarding employees as appropriate.
Provide support for employees through proper training, responding to employee questions, researching information, providing instruction, maintaining policies, procedures, and desk guidelines.
Forecasting and analyzing the unit workload to determine appropriate staffing.
Monitor unit and employee performance, quality, and timeliness measures to ensure unit and employees performance meet the department, division, corporate, group, and association objectives.
Provide coaching, counseling, and discipline for missed measures or deviation from policies and procedures.
Monitor and approve employee scheduled and unscheduled time off, work schedules, timesheets, and workload coverage.
Monitor and complete daily, weekly, monthly, and quarterly reporting on performance, accuracy, timeliness, work status, work input and output volume, etc.
Collaborate with other departments to ensure timely and accurate processing of claims.
Understanding of all changes to policies, procedures, government laws and regulations, and new products and communicating them to the unit, other units, and other departments, as necessary.
Monitor claim and inquiry problems, investigate validity, research solutions, collaborate with other departments for solutioning, and escalate, as necessary.

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