Claims Inspection and Billing Supervisor

<p style="text-align:inherit">&nbsp; &nbsp; &nbsp;</p><h2><b>JOB DESCRIPTION:</b></h2><p></p><p></p><p>Responsible for managing a team of Claim Inspectors and Billing Representatives, working to ensure timely and accurate review of claim requirements through an established checklist and efficient billing management focusing on revenue collection.</p><p></p><p>Manages volume and ensures that set goals are achieved day in and day out and is also responsible for the Team’s performance and development.</p><p></p><p></p><p><b>JOB RESPONSIBILITIES:</b></p><ul><li><p>Hiring, co-training, and preparing representatives to handle claim and billing review by utilizing the available tools and following different plan guidelines of the insurance.</p></li><li><p>Preparing reports and analyzing data to assist management as they determine the campaign’s goals. Including daily task assignments, task rotation and movement, aged tasks monitoring and rush requests completion.</p></li><li><p>Identifying operational issues, including escalation of critical items to their immediate managers and onshore counterparts; Determining trends and suggesting possible improvements in process and system/tools.</p></li><li><p>Monitoring and evaluating agent performance, providing learning or coaching opportunities, and taking corrective action, if necessary.</p></li></ul><ul><li><p>Ability to adapt to and work with the different tools and systems used to carry out duties and responsibilities; Adapts to and demonstrates the ability to deal with frequent changes in the work environment.</p></li><li><p>Promotes companies’ culture by ensuring agents understand and comply with the program’s objectives, mission statements, performance standards, and policies; Ensure team compliance to regulations, observes legal and ethical guidelines for safeguarding patient and company confidentiality (HIPAA).</p></li><li><p>Working with other supervisors and management team members to support agents and ensure clients satisfaction.</p></li><li><p>Other Supervisor duties as assigned.</p></li></ul><p></p><p></p><p><b>MINIMUM REQUIREMENTS:</b></p><ul><li><p>College diploma or equivalent, but more education, especially in management or healthcare, is preferred.</p></li><li><p>Minimum of 2 years of experience in healthcare accounts (preferably Revenue Cycle Management work experience).</p></li><li><p>Customer service, or supervisory experience may be required.</p></li><li><p>Proficiency with technology, especially computers, software applications, and phone systems.</p></li><li><p>Exceptional verbal and written communication skills.</p></li><li><p>Strong understanding of company products, policies, and services.</p></li><li><p>Ability to coach, train, and motivate employees and evaluate their performance.</p></li><li><p>Excellent problem solving, leadership, and customer service skills.</p></li><li><p>Analytical, efficient, and thorough.</p></li><li><p>Ability to remain calm and courteous under pressure and navigate tense situations, especially during busy hours.</p></li></ul><p></p><p></p><p><b>COMPETENCIES:</b></p><ul><li><p>Fostering Teamwork</p></li><li><p>Commitment to Job Deliverables</p></li><li><p>Decision making</p></li><li><p>Attention to Details</p></li><li><p>Attention to Communication</p></li><li><p>Customer Orientation</p></li><li><p>Analytical Thinking</p></li><li><p>Leadership</p></li><li><p>Trustworthiness and Ethics</p></li><li><p>Problem Solving</p></li><li><p>Technical Expertise</p></li><li><p>Managing Change</p></li><li><p>Managing Performance</p></li><li><p>Adaptability</p></li><li><p>Initiative</p></li><li><p>Interpersonal Skills</p></li><li><p>Thoroughness</p></li><li><p>Self Confidence</p></li><li><p>Stress Management</p></li><li><p>Personal Credibility</p></li><li><p>Flexibility</p></li></ul><p></p><p></p><p><b>COMMUNICATION SKILLS:</b></p><ul><li><p>Excellent interpersonal skills</p></li><li><p>Detailed &amp; Team Oriented</p></li><li><p>Professional communication &amp; Writing Organization/Time Management Skills</p></li></ul><p style="text-align:inherit">&nbsp; &nbsp; &nbsp;</p><p><b>The base pay for this position is </b></p>N/A<p style="text-align:left"><span>In specific locations, the pay range may vary from the range posted.</span></p><p style="text-align:inherit">     </p><h2><b>JOB FAMILY:</b></h2>Accounts Payable &amp; Receivables, Credit &amp; Collection, &amp; Payroll<p style="text-align:inherit">&nbsp; &nbsp; &nbsp;</p><h2><b>DIVISION:</b></h2>HF Heart Failure<p style="text-align:inherit">&nbsp; &nbsp; &nbsp; &nbsp;&nbsp;</p><h2><b>LOCATION:</b></h2>Philippines &gt; Taguig City : Five/Neo Building<p style="text-align:inherit">&nbsp; &nbsp; &nbsp;</p><h2><b>ADDITIONAL LOCATIONS:</b></h2><p style="text-align:inherit">&nbsp; &nbsp; &nbsp;</p><h2><b>WORK SHIFT:</b></h2>Standard<p style="text-align:inherit">&nbsp; &nbsp; &nbsp;</p><h2><b>TRAVEL:</b></h2>Not specified<p style="text-align:inherit">&nbsp; &nbsp; &nbsp;</p><h2><b>MEDICAL SURVEILLANCE:</b></h2>Not Applicable<p style="text-align:inherit">&nbsp; &nbsp; &nbsp;</p><h2><b>SIGNIFICANT WORK ACTIVITIES:</b></h2>Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day)<p style="text-align:inherit">&nbsp; &nbsp; &nbsp;</p><p style="text-align:inherit">     </p><p style="text-align:inherit">     </p>