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Insurance Supervisor

2 months ago

Chicago, Illinois, United States oilandgas Full time
Job Summary

We are seeking a highly skilled and experienced Insurance Supervisor to join our team. As a key member of our operations team, you will be responsible for leading and managing a team of insurance analysts, ensuring that all day-to-day activities operate smoothly and seamlessly to provide exceptional customer service to physician offices and patients.

Key Responsibilities
  • Supervise and oversee insurance analysts responsible for verifying new patient insurance benefits and handling claim rejections.
  • Work proactively with staff and cross-functional groups to develop creative solutions to challenging patient access issues regarding prior authorization and denied coverage requests.
  • Partner with leads to monitor workflow and adjust workload and staffing requirements to ensure timely and efficient completion of activities.
  • Monitor calls and perform case reviews to ensure accuracy of information, adherence to policies, and excellent customer service.
  • Provide coaching and training to individuals as needed and meet regularly with direct reports to provide feedback on performance and progress against goals.
  • Perform administrative tasks such as work hour scheduling, attendance monitoring, and counseling, vacation request scheduling, and overtime scheduling.
  • Participate in the hiring process and handle all employee issues for direct reports.
  • Meet or exceed department standards relative to performance metrics and take responsibility and accountability for the day-to-day execution of tasks.
Requirements
  • Bachelor's degree or Associate Degree in health sciences or business preferred.
  • 3-5 years of experience in the healthcare industry with knowledge in reimbursement, billing, prior authorization, appeals, and specialty pharmacy operations.
  • 1-2 years supervisory experience in a call center, large physician, managed care, or healthcare insurance setting desired.
  • Demonstrated strong technical skills, detail orientation, and thorough understanding of commercial and government pharmacy and medical insurance programs.
  • Proven leadership and coaching skills, ability to lead and participate within a team, manage multiple priorities, and meet associated timelines while maintaining accuracy.
  • Professional written and verbal communication skills to interact with and build and maintain relationships with all levels of the organization.
About Us

AbbVie is committed to operating with integrity, driving innovation, transforming lives, serving our community, and embracing diversity and inclusion. We strive to have a remarkable impact on people's lives across several key therapeutic areas and products and services in our Allergan Aesthetics portfolio.