Experience: 3+ years experience in Claims Adjudication/Processing, Provider Enrollment/PDM/Credentialing including 12 months in a supervisor capacity. Healthcare Industry Preferred
Roles & Responsibilities
Provide day-to-day leadership, coaching and development support to direct reports (Sr. Process Consultants).
Review operating statistics regularly to ensure Client and Organization goals are being met in areas of service quality and timeliness. Typical areas of focus include: quality monitoring scores/daily work assignments, customer satisfaction, account notations, call handle times(If the process has voice requirement), abandon rates and service levels/ line adherence.
Identify areas of process improvement and work effectively within the organization to implement resolutions on a timely basis. Areas for improvement should be targeted at increasing client satisfaction and/or company profitability.
Oversee necessary enhancements to client programs or servicing therein. This may include areas such as staffing, training, attendance and quality.
Responsible for process quality for all work performed by the team.
Participate in client visits and roundtables to provide inputs on program performance or new programs being offered.
Coordinate with Manager Operations to balance needs of individual teams with needs of the entire organization.
Provide growth development opportunities.
Promote teamwork and cooperative effort.
Help train and provide guidance to Sr. Process Consultant, other Supervisors and Sr. Supervisors within the organization.
Maintain a clean, safe, unobstructed work area and practice good safety habits.
Provide internal and external customers with the highest quality service.
Familiarize with HIPAA regulations
Mandatory Skills
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