To manage the Claims Supervisors. Provides overall project support for all functions for the assigned area. Works across functional areas within the Claims Department on projects assigned. Ensures delivery of highest level of customer service to the community and its medical providers.
Education and Experience
Bachelor’s degree in related field preferred; minimum two (2) years of supervisor experience in a claims environment; or equivalent combination of education and experience.
Special Skills, Licenses and Certifications
Strong written/oral communication and organization skills. Knowledge of AMISYS or similar system. Understanding of claims processing, related subsystem interfaces, and how changes impact all AMISYS subsystems. Thorough knowledge of CPT, HCPC procedure coding, and ICD-9 diagnostic coding. Knowledge of medical terminology. Expertise in automated claims procedures and related problem resolution.
Performance Based Competencies
Must be able to work in a fast paced environment and maintain courtesy and composure when dealing with internal or external customers.
Work Environment And Physical Demands
Ability to use a computer keyboard. More than 70% of work time is spent in front of a computer monitor. When required, ability to move, carry, or lift objects of varying size, weighing up to 10 lbs.
All HealthPlan employees are expected to:
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.