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Supervisor Claims - Franklin, TN - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Franklin, TN Franklin, Tennessee |
About this job
Position Description:
Flexible,
Friendly, Fast on your feet, That's a great start. Accurate,
Accountable, Self Directed, These traits can take you places. Our claims
operations are the focal point of handling information about services
patients receive and the way those services get paid. It's complex,
detailed work. It's fast paced challenge. It's a job that calls on you
to be thoughtful, resourceful, team-driven and customer-focused. To put
it mildly, there is never a dull moment.
Flexible,
Friendly, Fast on your feet, That's a great start. Accurate,
Accountable, Self Directed, These traits can take you places. Our claims
operations are the focal point of handling information about services
patients receive and the way those services get paid. It's complex,
detailed work. It's fast paced challenge. It's a job that calls on you
to be thoughtful, resourceful, team-driven and customer-focused. To put
it mildly, there is never a dull moment.
Positions
in this function are responsible for providing expertise or general
claims support to teams in reviewing, researching, investigating,
negotiating, processing and adjusting claims. Authorizes the appropriate
payment or refers claims to investigators for further review. Conducts
data entry and re-work; analyzes and identifies trends and provides
reports as necessary.
in this function are responsible for providing expertise or general
claims support to teams in reviewing, researching, investigating,
negotiating, processing and adjusting claims. Authorizes the appropriate
payment or refers claims to investigators for further review. Conducts
data entry and re-work; analyzes and identifies trends and provides
reports as necessary.
Primary Responsibilities:
- Coordinates, supervises and is accountable for the daily/ weekly/ monthly activities of a team members
- Sets priorities for the team to ensure task completion and performance goals are met, such as Quality, Adherence, Service Level
- Coordinates work activities with other supervisors, managers, departments, etc
- Identifies and resolves operational problems using defined processes, expertise and judgment
- Provides coaching and feedback to team members, including formal corrective action
- Conducts annual performance reviews for team members
- Provides expertise and customer service support to members, customers, and/or providers
- Provide
expertise and/or general claims support to teams in reviewing,
researching, negotiating, processing and adjusting claims - Authorize appropriate payment or refer claims to investigators for further review
- Analyze and identify trends and provides reports as necessary
- Consistently meet established productivity, schedule adherence, and quality standards
- Respond to claims appeals
- Coordinates, supervises and is accountable for the daily/weekly/monthly activities of a team members
- Sets priorities for the team to ensure task completion and performance goals are met, such as Quality, Adherence, Service Level
- Coordinates work activities with other supervisors, managers, departments, etc
- Identifies and resolves operational problems using defined processes, expertise and judgment
- Provides coaching and feedback to team members, including formal corrective action
- Conducts annual performance reviews for team members
- Provides expertise and customer service support to members, customers, and/or providers
- Coordinates, supervises and is accountable for the daily activities of business support, technical or production team or unit.
- Impact of work is most often at the team level.
Requirements
Requirements:
Let's talk about opportunity. Start with a Fortune 17 organization
that's serving more than 85 million people already and building the
industry's singular reputation for bold ideas and impeccable execution.
Now, add your energy, your passion for excellence, your near-obsession
with driving change for the better. Get the picture? UnitedHealthcare is
serving employers and individuals, states and communities, military
families and veterans where ever they're found across the globe. We
bring them the resources of an industry leader and a commitment to
improve their lives that's second to none. This is no small opportunity.
It's where you can do your life's best work.
Diversity
creates a healthier atmosphere: All qualified applicants will receive
consideration for employment without regard to race, color, religion,
sex, national origin, protected veteran status, or disability status.
UnitedHealth
Group is a drug-free workplace. Candidates are required to pass a drug
test before beginning employment. In addition, employees in certain
positions are subject to random drug testing.
- Bachelor's degree OR a High School Diploma or GED with 10+ years of experience
- 3+ years of previous Team Lead, Supervisory, or Managerial experience leading a team of 10+
- 3+ years of experience in the development of staff or team
- 2+ years of proven ability in providing customer service to internal and or external customers
- Experience working with Medicaid claims
- Advanced level of MS Word, Excel, and PowerPoint experience
- Bachelors Degree
- Claims processing experience within a healthcare environment
Let's talk about opportunity. Start with a Fortune 17 organization
that's serving more than 85 million people already and building the
industry's singular reputation for bold ideas and impeccable execution.
Now, add your energy, your passion for excellence, your near-obsession
with driving change for the better. Get the picture? UnitedHealthcare is
serving employers and individuals, states and communities, military
families and veterans where ever they're found across the globe. We
bring them the resources of an industry leader and a commitment to
improve their lives that's second to none. This is no small opportunity.
It's where you can do your life's best work.
Diversity
creates a healthier atmosphere: All qualified applicants will receive
consideration for employment without regard to race, color, religion,
sex, national origin, protected veteran status, or disability status.
UnitedHealth
Group is a drug-free workplace. Candidates are required to pass a drug
test before beginning employment. In addition, employees in certain
positions are subject to random drug testing.