Claims Processing Supervisor

Great Expressions Dental Centers • Southfield, MI

17h • Hybrid

About The Position

This position will be responsible for supervising the day to day operations of the Claims Processing Team. This position is responsible for accuracy of claims payment posting according to company policies in accordance within the established reporting cycles. The role will be responsible for maintaining Team moral, accountability & productivity.
This position is located at our corporate office in Southfield, MI and has a hybrid schedule of Monday-Thursday in office and Friday remote.

Requirements

• High level of detail orientation and organizational skills
• Basic math and analytical abilities
• Intermediate computer skills including Microsoft Excel and PowerPoint
• Strong 10 key skills with data entry accuracy track record
• Excellent written and interpersonal communication skills
• Ability to work independently and professionally
• Ability to manage multiple priorities and deadlines in a high-volume environment with tight timelines
• Ability to maintain confidentiality of Team Member information
• Ability to analyze workflows, identify bottlenecks, and implement improvements for efficiency and accuracy
• High School Diploma or GED equivalent
• Medical/Dental Claims Processing experience required
• 2-3 supervisory experience

Nice To Haves

• Familiarity with Explanation of Benefits (EOBs), Electronic Remittance Advice (ERAs), and denials preferred
• 5-7 years’ experience in claims processing preferred but not required

Responsibilities

• Motivate the Team to meet required goals & encourage personal growth within the Team and GEDC
• Ensure accurate processing of all claims payments in a timely manner
• Manage overtime within allotted budget
• Supervision of cash posting staff, training, performance evaluation, and workload prioritization
• Investigating discrepancies, handling unapplied payments, and resolving payment issues with payers or internal teams
• Work with billing, claims resolution, and IT to resolve issues and ensure seamless cash flow processes
• Other claims processing or administrative tasks as requested by direct Manager

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED