Medical Claims Supervisor - Nashville, TN

Supervises the day to day operations of the claims processing area. Assists in establishing fee schedules and pricing/billing guidelines and procedures.

Scope:

• Supervise the receipt, processing, calculation, payment and reporting of monthly claims submitted by providers in compliance with contractual requirements, regulations, and agency policies and procedures.
• Supervise Claims staff and implement plans to achieve goals, establish priorities and set realistic completion dates.
• Provide telephone assistance and problem resolution to providers as needed.
• Conduct Claims team meetings, identify and coordinate training needs, and administer performance evaluations on all supervised staff.
• Assist in developing division goals and measurement systems of performance indicators.
• Train, coach, and evaluate assigned staff on performance expectations.
• Participate in hiring and termination procedures.
• Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
• Strong interpersonal, time management and organizational skills.
• Ability to work both independently and within a team environment.
• Ensures all direct reports execute objectives by the use of a developmental plan/ninety (90) day plan and regular performance reviews; posting productivity, quality and deadline results.
• Other duties as assigned

Education:

• Minimum 2 years supervisory experience in an claim processing setting.
• Must live in close proximity to the Nashville, Tennessee area.

Job Type: Full-time

Pay: From $1.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Education:

• High school or equivalent (Required)

Work Location: One location