What are the responsibilities and job description for the Supervisor, Claims Processing position at PDS Health?
Description:
Responsibilities
Now is the time to join PDS Health. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gain valuable experience, apply today!
Overview:
Under limited supervision, the Supervisor, Claims Processing will identify, evaluate, develop, and implement systems and procedures that facilitate the increased efficiency of the billing and collection process to improve the revenue cycle of PDS. The Supervisor, Claims Processing will provide subject matter leadership and guidance while communicating the mission and vision of PDS as outlined by the executive team. Represents a continuous understanding of the relationship between the field's daily operations and the CBO's daily operations.
Responsibilities
- Act as a Liaison between Field operations and CBO support to implement better processes that improve the PDS revenue cycle with primary focus on tracing and collections of insurance claims.
- Develop and implement high-level strategic plans to increase efficiencies in the CBO with primary focus on tracing and collections of insurance claims.
- Provide effective leadership, coaching and mentoring in an effort to identify and implement opportunities for improvement and to execute auditing best practices.
- Constantly search for best practices for specialty and general and help implementation and execution of system in place
- Must keep commitments and keep direct supervisors informed of work progress, timetables, and issues.
- Maintains an appropriate professional appearance and demeanor in accordance with company policies; addresses others professionally and respectfully.
- Performs Human Resources related functions, such as interviewing and selecting, Performance Appraisals, Disciplinary Actions and Salary Administration.
- Ensure Compliance with Company policies, as well as State, Federal and other regulatory bodies.
- Report weekly to manager detailing accomplishments, areas for improvement, clear performance goals, and effectiveness of systems.
- Manage a team whose main responsibility is to trace claims.
- Monitor performance and ensure optimal staffing levels.
- Through working with other departments within PDS, implement new systems and protocol to improve on effectiveness of Department.
- Create an environment to facilitate learning.
- Lead and participate in meetings as required.
- Act as mentor, support, and assist in the development and training of staff.
- Bring forth ideas to improve processes and materials.
- Other duties assigned by Management.
Required
- Bachelor's Degree is required, and 3-5 or more years of related work experience. In lieu of degree, 6 years of experience is required.
- Operational management knowledge of medical/dental offices.
Preferred
- Experience in a multi-regional healthcare, retail, or dental company.
- Knowledge of WORD, EXCEL, POWERPOINT and QSI software applications.
- Experience leading a team, mentoring and coaching subordinates.
Benefits
- Medical, dental, and vision insurance
- Paid time off
- Tuition Reimbursement
- 401K
- Paid time to volunteer in your local community
PDS Health is an Equal Opportunity Employer. We celebrate diversity and are united in our mission to create healthier and happier team members.
Salary Information: $59,000.00-$75,000.00 / AnnuallySalary : $59,000 - $75,000
