Supervisor, Claim Denials

Summary

Join a global leader in cell-free DNA testing as a Supervisor, Claim Denials, and drive consistency & accuracy of third-party payor billing information. This role supervises a team, ensures on-going training, and promotes a positive working environment.

Requirements

• Bachelor’s Degree or equivalent work experience may be used in lieu of the degree
• 3-5 years of relevant work experience in a leadership role equivalent to lead or supervisor, preferably in healthcare billing environment
• Knowledge of all Revenue Cycle Management functions, including, but limited to Data Entry, ICD9 Coding, Accounts Receivable Management, and Remittance Application
• Proficient in 10 key and alpha/numeric data entry
• Proficient in Microsoft Office Suite, specifically Word, Excel, Outlook, or Google applications (Gmail, Sheets, Docs and Slides) and general working knowledge of Internet for business use
• Ability to work in a fast-past, deadline driven environment
• Demonstrated leadership and interpersonal skills

Responsibilities

• Supervise team including monitoring production and quality to specified goals
• Assists with feedback for hiring, discipline and performance evaluations
• Oversees the process of providing coverage for production environment
• Provides department orientation for all direct reports and coordinates training per job description
• Ensures that on-going training is provided for established employees, including the development & maintenance of standard operating procedures
• Liaisons with internal departments to promote ongoing communication and ensure accuracy
• Acts as an escalated level of response for concerns and complaints
• Assists staff with enforcing policy
• Works with cross functionally to manage the entire process from insurance verification to final collection
• Monitors and validates adherence to policies and procedures, auditing as necessary
• Completes projects and reports in a timely fashion on a daily, weekly or monthly basis per the direction of management

Benefits

• Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents
• Free testing in addition to fertility care benefits
• Pregnancy and baby bonding leave
• 401k benefits
• Commuter benefits