Supervisor, Claims Admin

About the role

The Supervisor, Claims Administration oversees a claims administration functional team handling government claims. This role involves managing claims research, reconsideration, correspondence, inquiries & escalations, and audits. The position requires a strong background in healthcare claims, billing, and supervisory experience.

Responsibilities

• Aids in developing and implementing department policies and training
• Audits completed work, analyzes results, and provides coaching for improvement
• Daily supervision of staff, including multiple job roles
• Manages assigned functional team(s), including people, workflows, performance, and procedures
• Proactively identifies opportunities and collaborates with leaders and subcontractors to drive issue resolution
• Collaborates cross-functionally with internal business partners on process changes and improvements
• Makes recommendations to improve quality and efficiency to enhance service to internal and external stakeholders
• Exhibits professionalism in all written and verbal communication
• Hires, evaluates, and develops team members
• Affirms team performance, initiates corrective action plans, and writes annual reviews
• Provides telephonic customer service assistance to Government employees, providers, Veterans, and beneficiaries

Requirements

• High School diploma or GED
• U.S. Citizenship
• Favorable Interim and adjudicated final Department of Defense (DoD) background investigation
• 4 years of healthcare claims, billing (or related healthcare area) experience
• 1 year in a Supervisory role or 2 years in a Team Lead (or equivalent) role
• Experience interpreting claims written policy and demonstrated understanding of automated transactions
• Demonstrated ability to communicate effectively, both verbally and in writing

Qualifications

• Associate degree or higher in related field preferred
• Intermediate proficiency with MS Office suite, with an emphasis on Excel
• Knowledgeable of claims pricing methodologies
• Claims coding certification or equivalent experience

Skills

• Commitment to task
• Communication / People Skills
• Computer Literacy
• Empathy / Customer Service
• Information Management
• Leadership
• Multi-Tasking / Time Management
• Organizational Skills
• Problem Solving / Analysis
• Technical Skills

Benefits

Includes medical, dental and vision coverage, paid time off, 401(k) retirement savings plan (with matching), short-term and long-term disability, basic life, and accidental death and dismemberment insurance, tuition reimbursement, and paid volunteer time. Salary range is approximately $72,000 - $76,000 per year.

Pay

$72,000 - $76,000 per year

Schedule

Standard office hours

Company Overview

Taking Care of Our Nation’s Heroes. It’s Who We Are. It’s What We Do. Do you have a passion for serving those who served? Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®! Our job is to make sure that America’s heroes get connected to health care in the community. At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996. Benefits We’re more than just a health care company. We’re passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes: Medical, Dental and Vision Coverage, Paid time off, 401(k) Retirement Savings Plan (with matching), Short-term and long-term disability, basic life, and accidental death and dismemberment insurance, Tuition reimbursement, Paid volunteer time