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Operations Support Supervisor

3 months ago

Lincoln, United States Health Prime International Full time
Job DescriptionJob Description

Job Summary:

The Operations Support Supervisor is responsible for managing daily functions of the operation support team which includes filing both primary and secondary insurance claims, supporting documentation (medical records), appeals and reconsiderations for processing to insurance carriers’ multiple clients as well as overseeing refunds and collections for specific clients. They will strive to ensure that we are delivering the highest level of operational services, while they coordinate communication and resolution between appropriate parties. They will actively participate in problem identification and resolution and coordinate resolutions. They will work closely with their director overseeing employee productivity, training, auditing, and responding to questions. They will work closely with our Billing and Global teams to work through processes and performance to improve workflow efficiency.

The individual in this position is responsible for all aspects of staff with their assigned teams, including the coordination of automation workflow and working with other internal departments. They will engage with and monitor all activities directly related to the overall performance, while identifying and recommending improvements to maximize client recoveries and improve workflow efficiencies. They will track and evaluate specific staffing and performance levels needed to streamline tactical operational plans and improve financial trends. The supervisor will also ensure written procedures are in place and update as the business process changes.

The Supervisor is a key member of the management team, working with other leaders to cultivate a collaborate culture within the organization while encouraging high performance in all areas.

Duties/Responsibilities:

  • Communicates regularly on day-to-day operations with the Ops Support team to ensure workload, productivity, turn-around-times, and client expectations are being met
  • Responsible for Ops Support which includes printing and submitting via fax and mail paperwork relating to filing both primary and secondary insurance claims, supporting documentation (medical records), appeals and reconsiderations for processing to insurance carriers’ multiple clients
  • Conducts staff meetings with team leaders to discuss operational problems, explain procedural changes or practices or communicate team goals.
  • Provides leadership, direction, and effective communication to team.
  • Audits Ops Support team members work and provide feedback to ensure quality performance.
  • Identifies key areas of process improvement and recommends methods of modification, implements approved changes.
  • Develop client specific and/or standard operating procedures (SOPs) to streamline workflows, ensure consistency and accuracy, maximizing technology to enhance productivity and performance.
  • Oversees automation processes for Ops Support team.
  • Respond to requests for internal and external customers and/or clients, as required.
  • Ensures that quality of work is maintained, and that compliance policies and procedures are followed throughout department operations meet or exceed minimum key job accountabilities established for the Ops Support Supervisor position.
  • Responsible for ordering supplies needed for office location aligned with workload and budget.
  • Responsible for working with accounting team to ensure postage and PO Box fees are processed to avoid interruption to services.
  • Responsible for identifying and escalating any equipment issues related to mail equipment, printers or scanners used by the team in a timely manner.
  • Responsible for coordinating the recycle and shredding pickup schedule with Director oversight.
  • Physical Mailbox retrieval.
  • Other duties may be assigned.

Required Skills/Attributes:

  1. Responsible for team specific training and development of team members, providing feedback and monitoring
  2. Provides leadership, direction and effective communication.
  3. Manages staff level team members.
  4. Carries out responsibilities in accordance with the organization's policies and applicable laws.
  5. Mentors team members on the planning and assigning of work as well as training and development.

Education and Experience:

  • High School Diploma required
  • Proficient with Microsoft Office suite of products, Excel, Word, PowerPoint and Outlook
  • Excellent customer service skills required
  • Good critical thinking and problem-solving skills
  • Previous experience working with Athena (GE) Centricity and NextGen billing systems desired but not required
  • Excellent reliability and willingness to embrace a team mentality as work is time sensitive
  • Actively supports change
  • Capable of working independently, paying close attention to detail and making timely independent decisions
  • Inspires respect and trust

Physical Requirements:

  • This job is required to be on-site due to work requirements
  • Prolonged periods sitting at a desk and working on a computer
  • Must be able to lift up to 15 pounds

Health Prime is an Equal Opportunity Employer