Claims Processing Supervisor jobs in South Dakota

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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Supervisor, Sterile Processing - Travel
  • STERIS
  • North Sioux, SD FULL_TIME
  • At STERIS, we help our Customers create a healthier and safer world by providing innovative healthcare and life science product and service solutions around the globe.

    Position Summary

    Provides on-site support, training, and communication regarding the reprocessing of surgical instruments and trays to contracted facilities in compliance with the Department of Health, TJC, OSHA, CDC, AAMI and AORN standards and facilities goals and policies. Coordinates and manages day-to-day operations of SPD employees.

    Duties

    • Oversees and supports daily operations of all activities that relate to the reprocessing of reusable medical supplies and instrumentation including decontamination, cleaning, assembly, wrapping, sterilization, and storage processes within all set professional standards and regulations. Ensures proper operational procedures are followed by all members of the IMS team.
    • Assumes responsibility, in collaboration with IMS SPD manager, for scheduling new IMS employee orientation, on-the-job training, in-service education and IMS or facility quality assurance programs when needed.
    • Understands and promotes concepts of the Lean work environment.
    • Communicates in a professional manner both verbally and in writing to all hospital staff and company employees.
    • Exhibits professional behavior in all telephone and electronic communications.
    • Represents IMS, self and profession positively in all public arenas.
    • Practices within the scope of certification and job description.
    • Supports and adheres to IMS policies and procedures and supports policies and procedures of facility.
    • Refers all decisions beyond personal scope of responsibilities to IMS leadership.
    • Coordinates the repair and replacement of broken instrumentation and equipment; may assist Clinical Operations Manager in order process.
    • Adheres to IMS / facility dress requirements, is neat and well-groomed at all times.

    Duties - cont'd

    • Arrives at facility at the scheduled time and is consistently ready for work assignments.
    • Schedules, leads, and participates in in-services and educational offerings provided by IMS in the facility.
    • Promotes best demonstrated practices with co-workers through open communication and continuous improvement of skills.
    • Follows chain of command within hospital and IMS regarding identified problems or issues to ensure proper communication and resolution.
    • Maintains a professional relationship with all facility departments to ensure effective, efficient support to the patient caregivers.
    • Answers and responds to calls from the OR and other end-users during and after regular business hours as required by the contract.
    • Ensures timely delivery of sterilized instruments to appropriate storage locations or end-users.
    • Demonstrates and ensures proper care and handling of all hospital property, including instrumentation, durable medical equipment and disposable supplies.
    • Provides timely resolution to facility issues or concerns.
    • Schedules staff assignments on a daily basis. Assists Clinical Operations Manager with monthly staff schedule
    • Assists Clinical Operations Manager to review all required documentation related to IMS Standard Operating Procedures and facility policies.

    Supervisory Responsibilities

    Supervision and coordination of sterile processing team.

    Education Degree

    • High School Diploma or GED

    Required Experience

    A minimum of three years Sterile Processing Department experience required including at least one year in an SPD leadership position

    Computer Skills

    Strong computer skills required including a working knowledge of MS Word and MS Excel. Experience with an instrument tracking system preferred.

    Certificates, Licenses, Registrations

    Active certification in sterile processing/central sterile via CBSPD or IAHCSMM required. If not certified at point of hire, it must be obtained within 12 months of hire.

    If assigned to travel, must maintain valid driver’s license, vehicle insurance and be available to operate a vehicle as needed to meet travel requirements.

    Other Skills and Abilities

    Must have a good working knowledge of Instruments, the operation/workings of the OR and be able to readily understand their issues and requests. Be able to speak the language of the OR.

    Ability to act as a resource for staff in both SPD and OR regarding identification and assembly of specialty instrument trays.

    Ability to train in all procedures regarding SPD responsibilities.

    Ability to schedule and maintain department productivity in order to provide necessary services within the set IMS budget for overtime.

    Excellent written and verbal communication skills.

    Other Qualifications

    Ability to work daily in a fast- paced, high-pressure Healthcare Services environment.

    Ability to perform tasks simultaneously while maintaining quality and controlling chaos.

    Ability to work alternate shifts as necessary.

    Physical Demands

    While performing the duties of this Job, the employee is regularly required to stand; walk; use hands and reach with hands and arms. The employee is frequently required to sit, stoop, kneel, crouch, or crawl and talk, see and hear. The employee must frequently lift and/or move up to 50 pounds, push and/or pull up to 100 pounds on a cart or carriage.

    Preferred Experience

    Associate’s degree from an accredited two-year college or technical school preferred.

    Skills

    Pay range for this opportunity is $59,300.00 - $77,826.00.This position is eligible for bonus.


    Minimum pay rates offered will comply with county/city minimums, if higher than range listed. Pay rates are based on a number of factors, including but not limited to local labor market costs, years of relevant experience, education, professional certifications, foreign language fluency, etc.


    Employees (and their families) may enroll in our company-sponsored medical, dental, vision, flexible spending, health savings account, voluntary benefits, supplemental life/AD&D plans and the company’s 401k plan. Employees are covered by an employee assistance program (also available to household members) and long-term disability. Full-Time Employees are also eligible for short-term disability. Full-time Employees will also receive Paid Time Off (PTO) based on years of service and paid Holidays. Part-time employees working 20 or more hours receive a pro-ration of the full-time PTO allocation and paid Holidays based on their standard hourly work week. Full-Time employees are eligible for four weeks of paid parental leave. Part-time employees also receive paid parental leave, pro-rated based on their standard hourly work week.


    STERIS is an Equal Opportunity Employer. We are committed to equal employment opportunity and the use of affirmative action programs to ensure that persons are recruited, hired, trained, transferred and promoted in all job groups regardless of race, color, religion, age, disability, national origin, citizenship status, military or veteran status, sex (including pregnancy, childbirth and related medical conditions), sexual orientation, gender identity, genetic information, and any other category protected by federal, state or local law. We are not only committed to this policy by our status as a federal government contractor, but also we are strongly bound by the principle of equal employment opportunity.

  • 23 Days Ago

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Claims Services Supervisor
  • RAS Companies
  • Sioux Falls, SD FULL_TIME
  • The Claims Services Supervisor will be responsible to supervise our claims services team to include coaching, training, and mentoring staff, resolving escalated issues, evaluating processes for effici...
  • 23 Days Ago

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Central Processing Supervisor - McKennan Hospital
  • Avera McKennan Hospital
  • Sioux Falls, SD FULL_TIME
  • Join the team at Avera! Award Winning Health Care: Avera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care O...
  • 28 Days Ago

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Customer Support Representative - Technical
  • Quality Claims Solutions
  • Sioux Falls, SD FULL_TIME
  • Responsible for analyzing, troubleshooting and evaluating technology issues. This role may support internal clients, helping to keep employees productive, or external customers of a company, helping t...
  • 12 Days Ago

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Operator Packaging Technician
  • Great Plains Processing
  • Beresford, SD FULL_TIME
  • This position is located in Yankton, SD. The Plant Operators oversee the entire production process of a given facility. They are responsible for the product quality as well as the equipment within GPP...
  • 15 Days Ago

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Operator Packaging Technician
  • Great Plains Processing
  • Sioux Falls, SD FULL_TIME
  • This is position is located in Yankton, SD. The Plant Operators oversee the entire production process of a given facility. They are responsible for the product quality as well as the equipment within ...
  • 17 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...
  • 4/23/2024 12:00:00 AM

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Processing Supervisor
  • Michael Foods Inc.
  • Klingerstown, PA
  • Business Unit Overview Michael Foods, Inc. is a leader in the food processing and distribution industry with business in...
  • 4/23/2024 12:00:00 AM

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Processing Supervisor
  • Channel Control Merchants LLC
  • Blue Mountain, MS
  • Increase operational effectiveness of product processing as measured by Safety, Quality, Delivery, Costs and Inventory (...
  • 4/22/2024 12:00:00 AM

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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 ...
  • 4/21/2024 12:00:00 AM

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Processing Supervisor
  • Daybreak Foods
  • Eagle Grove, IA
  • Summary Reporting to the Processing Manager, supervise the day to day activities of the workforce in a liquid and shell ...
  • 4/21/2024 12:00:00 AM

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Processing Supervisor
  • Michael Foods Inc.
  • West Jefferson, OH
  • Business Unit Overview Michael Foods, Inc. is a leader in the food processing and distribution industry with business in...
  • 4/21/2024 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...
  • 4/19/2024 12:00:00 AM

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Processing Supervisor
  • Michael Foods Inc.
  • Klingerstown, PA
  • Business Unit Overview: Michael Foods, Inc. is a leader in the food processing and distribution industry with business i...
  • 3/20/2024 12:00:00 AM

South Dakota (/- dəˈkoʊtə/ (listen)) is a U.S. state in the Midwestern region of the United States. It is named after the Lakota and Dakota Sioux Native American tribes, who compose a large portion of the population and historically dominated the territory. South Dakota is the seventeenth largest by area, but the fifth smallest by population and the 5th least densely populated of the 50 United States. As the southern part of the former Dakota Territory, South Dakota became a state on November 2, 1889, simultaneously with North Dakota. Pierre is the state capital and Sioux Falls, with a populat...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Supervisor jobs
$60,749 to $74,530

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