Medical Claims Supervisor

Datamark•El Paso, TX

About The Position

We are seeking an experienced Medical Claims Processing Supervisor to lead a team responsible for insurance verification and benefits research for patients prescribed complex, high-cost drug therapies. The role combines people leadership with hands-on operational oversight. The Supervisor coaches and develops Medical Claims Processors, monitors productivity and quality, reviews work, resolves escalated cases, and ensures consistent compliance with client requirements, documented procedures, and business rules.

Requirements

High school diploma or equivalent.
At least 2 years of experience in back-office operations, healthcare administration, insurance verification, benefits investigation, claims processing, pharmacy operations, or a similar operational environment.
At least 1 year of supervisory experience.
Strong leadership, coaching, and mentoring skills.
Strong analytical, research, and problem-solving abilities.
Excellent written and verbal communication skills.
Strong organizational skills and attention to detail.
Ability to manage multiple priorities effectively in a fast-paced, productivity-driven environment.
Proficiency with Microsoft Office, including Word, Excel, PowerPoint, and Outlook.

Nice To Haves

Bachelor’s degree.
Medical claims, health insurance, benefits investigation, insurance verification, specialty pharmacy, or related healthcare experience.
Working knowledge of medical insurance concepts and terminology, including eligibility, deductibles, copays, coverage limitations, and prior authorizations.
Experience leading teams responsible for high-volume transactional, claims, insurance, healthcare, or other detail-intensive back-office work.
Experience monitoring and coaching employees against productivity, quality, and accuracy expectations.

Responsibilities

Lead, coach, and support Medical Claims Processors responsible for insurance verification and benefits investigation.
Monitor productivity, quality, accuracy, and adherence to established processes, and coach employees when performance gaps are identified.
Ensure team members follow client requirements, documented procedures, work instructions, and business rules.
Provide guidance on complex insurance coverage questions, discrepancies, and escalated cases.
Oversee team workflow and schedules to maintain appropriate coverage and meet daily productivity expectations.
Identify potential staffing needs or workflow concerns and escalate recommended adjustments to management.
Conduct timely performance evaluations and provide ongoing feedback, coaching, and development.
Address employee performance and corrective-action matters in accordance with company policies.