Supervisor, Client Reimbursement Advocacy

Imagine360

1d•Remote

About The Position

Imagine360 is seeking a Supervisor, Client Reimbursement Advocacy to join the team. The Supervisor, Client Reimbursement Advocacy will oversee a team that works directly with providers and members to secure access to care, ensure fair and reasonable payments, and resolve issues at any level of the process. Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise, helping thousands of employers save billions on healthcare with breakthrough total health plan solutions that are customized and member-focused.

Requirements

High School Diploma or GED required
Minimum of 3 years of healthcare, health insurance, or customer service experience
Minimum 1 year of supervisory experience

Nice To Haves

Bachelor's degree in Business or Healthcare Administration preferred or related field
Experience with negotiations preferred
Experience in billing, insurance, healthcare, or legal environments preferred
Knowledge and understanding of CMS1500 and UB04 Medical Claim Forms, medical coding, and proficiency in Microsoft Office products desired

Responsibilities

Train Advocates in accordance with department policies and procedures to ensure successful outcomes on both pre and post service negotiations.
Respond to issues, questions, and concerns from senior management, providers, groups, members, and the Advocacy team to ensure a smooth member and provider experience.
Assist in hiring and training of new candidates for the Advocacy team.
Monitor employee productivity and provide constructive feedback and coaching
Delegate special projects and cases as necessary
Work with Senior Manager to develop and support successful completion of goals for the Advocacy team.
Maintain frequent communication with Senior Manager to ensure efficient operations throughout the Advocacy team.
Manage escalated inquiries from both internal and external parties.
Develop and maintaining department policies and procedures.
Identify enhancements and changes to workflows to increase effectiveness and productivity.
Deliver specialized service over multiple channels by acting as a single point of contact, maintaining ownership of member resolution and navigating optimal care.
Manage and coordinate escalated member issue resolution with both internal and external parties, including negotiation of cases.

Benefits

Multiple Health plan options
Company paid employee premiums for disability and life insurance
Parental Leave Policy
20 days PTO to start
10 Paid Holidays
Tuition reimbursement
401k Company contribution
Company paid Short & Long term Disability plus Life Insurance
Professional development initiatives / continuous learning opportunities
Opportunities to participate in and support the company's diversity and inclusion initiatives