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)
OVERALL RESPONSIBILITIES:
MINIMUM QUALIFICATIONS:
Must be detail and goal oriented, organized, possess strong written and verbal communication skills, strong interpersonal skills, display time management skills and the ability to juggle and prioritize workload, and work well with others. Computer skills required. Background in healthcare-related industry and knowledge of medical third party billing preferred. Knowledge of Microsoft Word and Excel helpful.
CONTINUING EDUCATION: