Supervisor, Healthcare Services Claims

Position Summary Provides supervision, coaching and support to Claims Processors. Organizes staff, sets goals, establishes procedures, and continues to ensure claims are processed promptly and accurately. Measures and evaluates performance and results. Coaches and trains as required to achieve goals of quality and efficiency. This is a Hybrid Position. Pay Range $59,922.05 - $74,902.56 annually (depending on experience). This role may be classified as hourly (non‑exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Benefits Medical, Dental, Vision, Pharmacy, Life, & Disabled 401K‑ Matching FSA Employee Assistance Program PTO and Company Paid Holidays Required Skills, Experience & Education College degree or equivalent work experience. 2–4 years medical claims processing experience, including 1 year as Senior/Lead processor. Computer proficiency in company’s systems and Word and Excel. Strong verbal, written and interpersonal communication skills. Strong analytical, problem‑solving and decision‑making skills. Ability to work well under pressure with frequent interruptions and shifting priorities. Ability to come in to work on time and daily. Maintain confidentiality and project a professional business image. Primary Functions Supervises staff giving daily work direction, vacation scheduling, monitoring attendance, conducting performance reviews, and hiring and training new employees. Facilitates problem solving for employees and Manager by answering claims‑related questions dealing with contract interpretation of benefits, procedures and claims systems. Controls workflow and quality by checking date and amount of work in processors queues, assigns work to ensure time service goals, tracks processors production and quality. Assists with planning by analyzing amount of work and type of work, assigns and sets priorities and decides on retraining needs. Motivates and coaches the processors by reviewing results with them, conveying what is expected, asking for suggestions, and fulfilling training needs. Uses and manipulates Excel files. Other duties as assigned. Working Conditions Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high‑speed, hard‑wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need. Equal Employment Opportunity Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our View email address on click.appcast.io email. #J-18808-Ljbffr Page Mechanical Group, Inc.