Supervisor, Medical Claims

Moda Health•Milwaukie, OR

6d•Hybrid

About The Position

Provides supervision, coaching and support to Claims Processors. Organizes staff, sets goals, establishes procedures, and continues to ensure claims are processed promptly and accurately. Measures and evaluates performance and results. Coaches and trains as required to achieve goals of quality and efficiency. This is a FT hybrid position based in Milwaukie, Oregon.

Requirements

College degree or equivalent work experience.
2 – 4 years medical claims processing experience, including 1 year as Senior/Lead processor.
Computer proficiency in company’s systems and Word and Excel.
Strong verbal, written and interpersonal communication skills.
Strong analytical, problem solving and decision-making skills.
Ability to work well under pressure with frequent interruptions and shifting priorities.
Ability to come in to work on time and daily.
Maintain confidentiality and project a professional business image.

Responsibilities

Supervises staff giving daily work direction, vacation scheduling, monitoring attendance, conducting performance reviews, and hiring and training new employees.
Facilitates problem solving for employees and Manager by answering claims related questions dealing with contract interpretation of benefits, procedures and claims systems.
Controls workflow and quality by checking date and amount of work in processors queues, assigns work to ensure time service goals, tracks processors production and quality.
Assists with planning by analyzing amount of work and type of work, assigns and sets priorities and decides on retraining needs.
Motivates and coaches the processors by reviewing results with them, conveys to them what is expected of them, asks for suggestions, and fulfills the needs of training.
Use and manipulate excel files.
Other duties as assigned.