Claims Processing Supervisor jobs in Maine

Claims Processing Supervisor supervises the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures the accurate and timely disposition of claims and resolves matters according to coverage amounts and company procedures. Being a Claims Processing Supervisor provides guidance to staff on more complex or high-value claims. Reviews and resolves escalated issues. Additionally, Claims Processing Supervisor requires a high school diploma. Typically reports to a manager. The Claims Processing Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. To be a Claims Processing Supervisor typically requires 3 years experience in the related area as an individual contributor. Thorough knowledge of functional area under supervision. (Copyright 2024 Salary.com)

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Specimen Processing Supervisor
  • Quest Diagnostics
  • Bangor, ME FULL_TIME
  • Overview

    Specimen Processing Supervisor - Bangor, ME - Monday - Friday - 6:00-16:30

     

    Supervise functions within the Specimen Processing department, which may include one or more of the following: Specimen Processing, Test in Question/Problem Resolution, Imaging/Microfilming. Responsible for overseeing the following activities, daily operations of Specimen Processing, all compliance training, training of personnel, monitoring Quality of the department(s), monitor and improve productivity.  Ensure maintenance of a safe, ergonomically sound, professional environment.  Know and understand all functions of the department. 

     

    Benefits Information:We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives. Our pay and benefit plans have been designed to promote employee health in all respects – physical, financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include:

    • Day 1 Medical/Dental/Vision for FT employees who work 30 hours • 15 PTO days first year• Paid Holidays• Annual Bonus Opportunity • 401(k) with matching contributions• Variable compensation plan (AIP) bonus• Employee Stock Purchase Plan (ESPP)• Employee Assistance Program (EAP)• Blueprint for Wellness• Tuition Reimbursement for undergraduate and graduate programs for FT employees who work 30 hours • Opportunities for career advancement • Training provided!

    Responsibilities

    • Responsible for daily operations of department which may include responsibility for Imaging/Microfilming, Test In Question and some Problem Resolution Client Service functions  
    • Oversees safety, ergonomics, maintenance, and cleanliness of department (including upgrades, repairs, etc.) 
    • Develops and implements Standard Operating Procedures for Specimen Processing in accordance with Quest Diagnostics guidelines 
    • Reviews Specimen Processing Standard Operating Procedure Manual on a biannual basis and ensures departmental compliance. Identifies need for revisions and/or additional SOP’s as indicated 
    • Where applicable, ensures all Federal, State & local licensure requirements are met, working with the QA and Medical Director’s offices 
    • Ensures all documentation is complete and reviewed as required for internal and external inspection/audit 
    • Ensures all employees meet Compliance Guidelines and Competency Testing. Ensures all employees receive adequate training and meet annual competency requirements 
    • Monitors incoming workflow from Logistics and make necessary changes to ensure adequate supply of specimens to technical departments 
    • May supervise packing and shipping of specimens to other laboratories, in accordance with IATA regulations 
    • Ensures integrity of specimens sent to other facilities meet the criteria necessary to provide accurate and timely results 
    • Monitors special handling of Jeopardized Clients, Hospital Clients and Vital Specimens to ensure there are no mishandled specimen(s)/patient requisitions 
    • Demonstrates leadership skills in employee relations, scheduling, new employee onboarding, team meetings, coaching, performance management 
    • Establishes and motivates a participative work environment that actively encourages and supports employee involvement.  
    • Disseminates all essential information in a timely manner, using various forms of communication to all departmental staff. 
    • May track/enter time/attendance of employees  
    • Prepares month-end reports 
    • Investigates/resolves and responds in a timely manner to internal and external customer issues appropriately and effectively 
    • Prepares schedules for department employees, maintains adequate coverage for department 
    • Oversees and ensure adequate supply inventory for the department 
    • Ensures continuous process improvement and/or standardization initiatives are implemented in accordance with established deadlines 
    • Participates in the interview, selection, and hiring of new employees 
    • Responsible for coaching, development, supervision, and succession planning of staff  
    • Monitors ongoing performance of employees; provides corrective action and counseling as required.  Prepares and administers annual performance reviews 
    • Assists in ensuring fiscal responsibilities of the department are met which includes implementation of cost containment programs, management of overtime, participation in standardization initiatives and needs assessment for capital expenditures 
    • Participates on Quest Management System (QMS) and Process Improvement Teams, or other initiatives to meet business objectives 
    • Organizes and lead projects both within the workgroup and with cross-functional groups 
    • Meet all deadlines assigned by the manager 
    • Effectively works with Technical departments to resolve problems. Must have the interpersonal skills to gain cooperation with other departments, and foster continuous improvement 
    • Excellent organization, communication, and interpersonal skills; is able to manage concerns of clients, technical departments, and employees in a professional manner 
    • All other duties as assigned

    Qualifications

    QUALIFICATIONS

    Required Work Experience:  

    Internal candidates require a minimum of two years in a Group Leader/related role 

    Preferred Work Experience:  

    • 5 years experience in a laboratory; Medical or production background preferred 
    • Previous people leadership experience preferred 

    Physical and Mental Requirements:  

    • Works in a biohazard environment, practicing good safety habits 
    • Handles multiple tasks and works in a production environment 
    • Must have the mental alertness and high energy required to appropriately perform job. 

    Knowledge:  

    N/A

    Skills:  

    • PC skills, MS Office applications 
    • Excellent leadership, organization, communication and interpersonal skills, and ability to interact effectively with internal and external customers. 
    • Monitor and provide a safe work environment, prepare incident reports and implement preventative measures 
    • Act in a professional manner at all times. 
    • Must be able to adjust schedule to meet business requirements, which may include extended hours. 
    • Knowledge of systems tools such as COGNOS, Oracle, EMPower, Kronos 

    EDUCATION Associates DegreeLICENSECERTIFICATIONS

     

    Quest Diagnostics honors our service members and encourages veterans to apply.

     

    While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume. 

    2024-60861

    EEO

    Quest Diagnostics is an equal employment opportunity employer. Our policy is to recruit, hire and promote qualified individuals without regard to race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other status protected by state or local law. Quest Diagnostics observes minimum age requirements established by federal, state and/or local laws, and will ask an applicant for verification when deemed necessary. 

  • 12 Days Ago

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Sterile Processing Supervisor
  • MaineHealth
  • Sanford, ME FULL_TIME
  • Summary Position Summary The Central Service Supervisor works closely with the manager to support, coordinate and supervise personnel and unit activities. Assumes full responsibility for the departmen...
  • 13 Days Ago

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ME - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Portland, ME FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 2 Months Ago

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Roof Technician
  • Hancock Claims Consultants Technicians
  • Portland, ME CONTRACTOR
  • CLIMB to New Heights…And live the American Dream. Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carriers...
  • 11 Days Ago

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Roof Technician
  • Hancock Claims Consultants Technicians
  • Augusta, ME CONTRACTOR
  • CLIMB to New Heights…And live the American Dream. Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carriers...
  • 11 Days Ago

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Medical Technician
  • U.S. Military Entrance Processing Command
  • Portland, ME FULL_TIME
  • About the Position: This is a Public Notice for the Direct Hire Authority (DHA) for Certain Personnel of DoD Workforce. This position is located at: United States Military Entrance Processing Command,...
  • 6 Days Ago

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Processing Supervisor
  • Ives & Associates
  • West Jefferson, OH
  • POSITION SUMMARY: Position is responsible supervising liquid production areas at the West Jefferson, OH facility and for...
  • 5/8/2024 12:00:00 AM

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Sterile Processing Coordinator
  • Ascension
  • Mequon, WI
  • Details Department: Sterile Processing Schedule: Days Mid-Shift, 40hrs/wk, 10am to 6:30pm as needed. Hospital: Columbia ...
  • 5/7/2024 12:00:00 AM

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Sterile Processing Supervisor
  • Ascension
  • Nashville, TN
  • Details Department: Sterile Processing Schedule: Full time evening shift, 2:30pm-11pm Hospital: Ascension, St. Thomas Mi...
  • 5/7/2024 12:00:00 AM

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Processing Supervisor
  • Patrice & Associates
  • Wheeling, IL
  • Job Description Job Description The primary responsibility of this position includes oversight and leadership of a regio...
  • 5/7/2024 12:00:00 AM

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Sterile Processing Coordinator
  • Ascension
  • Brookfield, WI
  • Details Department: Sterile Processing Schedule: 2:30pm to 11pm Monday - Friday Flexibility on weekends when staffing ne...
  • 5/5/2024 12:00:00 AM

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Sterile Processing Supervisor
  • Ascension
  • Panama City, FL
  • Details Department: Sterile Processing Schedule: Full-time, Days Hospital: Ascension Sacred Heart Bay Hospital Location:...
  • 5/5/2024 12:00:00 AM

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Lead Sterile Processing Coordinator
  • Sanford Health
  • Bismarck, ND
  • Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the Unite...
  • 5/5/2024 12:00:00 AM

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Logistics Processing Coordinator
  • Ryder System
  • Warren, MI
  • Job Seekers can review the Job Applicant Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-polic...
  • 5/4/2024 12:00:00 AM

To the south and east is the Atlantic Ocean and to the north and northeast is New Brunswick, a province of Canada. The Canadian province of Quebec is to the northwest. Maine is both the northernmost state in New England and the largest, accounting for almost half of the region's entire land area. Maine is the only state in the continental US to border only one other American state (New Hampshire to the South and West). Maine is the easternmost state in the United States in both its extreme points and its geographic center. The town of Lubec is the easternmost organized settlement in the United...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Supervisor jobs
$65,918 to $80,871

Claims Processing Supervisor in New Bedford, MA
Claims processing supervisor with a bachelors degree and three years related exp is needed for a full-time, temporary opportunity.
February 19, 2020