Supervisor - Claims

Modivcare•Norton, VA

About The Position

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you! Modivcare is looking for an experienced Supervisor - Claims to join our team, responsible for assisting with the management of the Claims Department and acts as a liaison between the transportation providers and the company. This role... Supervises, manages and develops a team to meet operational and contractual goals. Coaches and mentors team members. Completes performance reviews for team members. Provides a high level of customer service to the Operational offices supported by the Claims team and the Claims office. Researches issues regarding the processing of transportation claims. Reviews team work performance to ensure accuracy and efficiency. Works through the Claims team to handle claims disputes with transportation providers and/or members. Communicates directly with the transportation providers and/or members if an issue is escalated. Oversees the mailing of claims payment checks with the appropriate explanation of payment. Creates, analyzes and reports on the statistical information regarding the performance of the claims department. Ensures all Claims office deadlines are met. Ensures the adherence to all company policies and procedures by each team member. Develops and improves work processes. Participate in other projects or duties as assigned. Determines appropriate resourcing of staff in order to achieve goals and objectives. Coaches employees on performance gaps, career development opportunities, and strategies. Mentors and coaches employees on all human resource related processes including onboarding, performance management, employee relations, compensation and rewards. Recognizes others’ contributions and share credit for success. Owns attainment of high employee satisfaction and retention; lead development of program and initiatives within group to attain high employee satisfaction. Prepares and manages budget as assigned; analyzes variances and initiates corrective actions to maximize operational performance.

Requirements

Bachelor's Degree required.
Four (4) plus years experience.
Up to one (1) years leadership responsibility.
Experience with healthcare related billings. This should include a working knowledge of HCPCS, ICD-9 and Condition codes.
Three (3) years data processing experience preferred.
Or equivalent combination of education and/or experience.
Strong ability to use thinking and reasoning to solve a problem.
Excellent communication skills, both verbal and written.
Excellent ability to take care of the customers’ needs while following company procedures.
Ability to make critical decisions while following company procedures.
Ability to get along well with a variety of personalities and individuals.
Ability to influence others to perform their jobs effectively and to be responsible for making decisions.
Excellent ability to organize and direct oneself and effectively supervise others.
Excellent ability to find a solution for or to deal proactively with work-related problems.
Ability to effectively build relationships with customers and co-workers.
Driven ability to complete assigned tasks under stressful situations.
Knowledge of and proficiency in quality improvement tools and processes.
Demonstrated initiative; and ability to follow instructions and complete assignments in a timely manner.
Proven experience dealing with crisis and ability to create processes that best benefit the entire team.
Model excellent customer service and phone skills.
Strong management and organizational skills.
Able to handle multiple tasks simultaneously.
Ability to accurately type 35+ words per minute.
Proficient in Microsoft Word, Excel, Access, PowerPoint and Outlook.

Responsibilities

Supervises, manages and develops a team to meet operational and contractual goals.
Coaches and mentors team members.
Completes performance reviews for team members.
Provides a high level of customer service to the Operational offices supported by the Claims team and the Claims office.
Researches issues regarding the processing of transportation claims.
Reviews team work performance to ensure accuracy and efficiency.
Works through the Claims team to handle claims disputes with transportation providers and/or members.
Communicates directly with the transportation providers and/or members if an issue is escalated.
Oversees the mailing of claims payment checks with the appropriate explanation of payment.
Creates, analyzes and reports on the statistical information regarding the performance of the claims department.
Ensures all Claims office deadlines are met.
Ensures the adherence to all company policies and procedures by each team member.
Develops and improves work processes.
Participate in other projects or duties as assigned.
Determines appropriate resourcing of staff in order to achieve goals and objectives.
Coaches employees on performance gaps, career development opportunities, and strategies.
Mentors and coaches employees on all human resource related processes including onboarding, performance management, employee relations, compensation and rewards.
Recognizes others’ contributions and share credit for success.
Owns attainment of high employee satisfaction and retention; lead development of program and initiatives within group to attain high employee satisfaction.
Prepares and manages budget as assigned; analyzes variances and initiates corrective actions to maximize operational performance.

Benefits

Medical, Dental, and Vision insurance
Employer Paid Basic Life Insurance and AD&D
Voluntary Life Insurance (Employee/Spouse/Child)
Health Care and Dependent Care Flexible Spending Accounts
Pre-Tax and Post --Tax Commuter and Parking Benefits
401(k) Retirement Savings Plan with Company Match
Paid Time Off
Paid Parental Leave
Short-Term and Long-Term Disability
Tuition Reimbursement
Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)