Claims Operations Supervisor - Helena, MT (On-site)

Gainwell Technologies•Helena, MT

1d•Onsite

About The Position

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary The Claims Supervisor position will be responsible for, at a minimum, the following functions: Mailroom, Data Capture, Scanning, Adjustments, Resolution, and Change Orders related to State of Montana Medicaid. The Supervisor will be required to work within the organizational teams and leadership for the best of the organization in support of the Medicaid contract. Your role in our mission Supervise the receipt of mail and claims, claim processing, calculation, payment and reporting of monthly claims submitted by providers in compliance with contractual requirements, regulations, and agency policies and procedures. Supervise Claim and Mailroom staff and implement plans to achieve goals, establish priorities and set realistic completion dates. Assist in developing division goals, measurement systems of performance indicators and work with the team to set goals. Conduct Claim/Mailroom team meetings, identify and coordinate training needs, administer performance evaluations on all supervised staff, monitor team operational and financial performance, and initiate corrective actions when required. Facilitate continuing improvement of business processes in Claims and Mailroom. What you should expect in this role The location for this position is in Helena, MT. 828 Great Northern Blvd, Helena, MT, 59601 #LI-ONSITE #LI-JT1 The pay range for this position is $47,300.00 - $70,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

Requirements

Minimum of three years leadership experience.
Strong communication skills including written communication and ability to speak in front of groups.
Organization skills to balance and prioritize work with the ability to multi-task
Ability to work independently or as part of a team

Nice To Haves

Claim Processing and customer service experience preferred in health care environment

Responsibilities

Supervise the receipt of mail and claims, claim processing, calculation, payment and reporting of monthly claims submitted by providers in compliance with contractual requirements, regulations, and agency policies and procedures.
Supervise Claim and Mailroom staff and implement plans to achieve goals, establish priorities and set realistic completion dates.
Assist in developing division goals, measurement systems of performance indicators and work with the team to set goals.
Conduct Claim/Mailroom team meetings, identify and coordinate training needs, administer performance evaluations on all supervised staff, monitor team operational and financial performance, and initiate corrective actions when required.
Facilitate continuing improvement of business processes in Claims and Mailroom.