Claims Production Supervisor

HealthPartners Clinic Stillwater•Bloomington, MN

1d•$31 - $47

About The Position

The Claims Production Supervisor manages and monitors the timely and accurate adjudication of claims, adjustments, and/or refunds, and oversees resolution of written and verbal inquiries from internal and external members. The role provides guidance, motivation, and support to help employees grow and work as a team in alignment with individual needs, department objectives, and marketplace expectations. The supervisor is responsible for staff supervision and related employment actions, training, performance management, and compliance with organizational and departmental policies and procedures. The position works with Technical Support Coordinators to determine claims-auditing levels for each examiner and allocates work teams to meet customer service objectives. It requires independent, logical decision-making in a fast-paced, continuously changing environment; decisions affecting the department are communicated to appropriate team members. HealthPartners describes itself as a nonprofit integrated health care organization and emphasizes an inclusive workplace, diversity and inclusion, health equity, and community partnership. It offers a comprehensive range of benefits related to health, time off, retirement planning, and continuous learning.

Requirements

Bachelor’s degree in management, business, health care, human relations, or a related area; or an associate degree with at least 2 years of leadership or management experience; education may be waived with at least 4 years of leadership or management experience.
Detailed understanding of the health care industry, including insurer operations and provider network arrangements.
Ability to interact with all levels of HealthPartners staff and external customers.
Ability to establish and maintain effective, courteous, and confidential relationships with staff, providers, and members.
Strong interpersonal and human relations skills.
Ability to work independently and as a team member.
Ability to lead others through change, remain flexible and adaptive, and make immediate adjustments to work direction.
Ability to foster enthusiasm, pride in work, and commitment to HealthPartners goals and vision.
Ability to establish a work environment free from harassment and discrimination.
Effectiveness in evaluating employees and providing feedback.
Ability to identify training needs and provide learning opportunities.
Ability to give verbal presentations and lead discussions.
Advanced analytical skills and problem-solving ability.
Experience interpreting and implementing technical data and contracts.
Logical, principle-based decision-making and ability to meet deadlines.
Strong organizational and time-management skills.
Working knowledge of CQI processes and principles.
Computer knowledge.
General knowledge of accounting principles.
Ability to work and make logical decisions independently in a fast-paced, continuously changing environment.

Nice To Haves

Bachelor’s degree in management, business, health care, human relations, or a related area; or an associate degree with at least 4 years of supervisory experience in a health care setting.
2–4 years of HealthPartners claims experience and familiarity with HealthPartners goals and objectives.
Experience processing claims and general knowledge of various processing systems.
Working knowledge of Collective Bargaining Agreements.
Project management experience.

Responsibilities

Manage and monitor timely and accurate adjudication of claims, adjustments, and/or refunds.
Organize and oversee resolution of written and verbal inquiries from internal and external members.
Supervise staff, including authority to hire, transfer, lay off, promote, discipline, discharge, train, reward, and review employee performance.
Ensure compliance with organizational and departmental policies and procedures.
Ensure, direct, and/or provide training for permanent and temporary Claims Department staff.
Promote teamwork and encourage high morale and motivation.
Build high-performance teams using performance measurements, individual goal setting, and monitoring and evaluation of results.
Work with staff to develop and implement individual and departmental goals and objectives.
Motivate staff to meet or exceed department quality and production expectations.
Identify staff performance issues and prepare and implement action plans to resolve problems.
Work with Technical Support Coordinators to determine the level of claims requiring auditing for each examiner.
Make logical decisions independently and allocate work teams to meet customer service objectives.
Communicate decisions affecting the department to appropriate team members.