Doherty Staffing Solutions


Hopkins, Minnesota
Depending on Qualifications
Nov 15, 2017
Nov 18, 2017
Job Type
Employment Status
Full Time

Doherty Top Talent is partnering with a large healthcare company located in Minnetonka, MN. We are seeking a Claims Operations Supervisor on first shift for this exciting employment opportunity! This position has pay starting at $30/hour.

SUMMARY - The incumbent supervises a team of Claims Processors and ensures high-level quality and productivity in claims processing. The Supervisor is responsible for the timely and accurate adjudication and payment of claims or adjustments initiated by internal and external customers and provides coaching and mentoring to team members or peers.

Claims Operations Supervisor Main Duties/Responsibilities:

· Provide day-to-day work direction and assignment of claims - may assist in the audition functions of the department

· Understands and is a resource to peers regarding departmental rules, regulations, and policies to employees

· Conducts performance reviews/feedback; creates orientation plan for new hires and coaches team as well as individuals on productivity and quality

· Screens and approves high-dollar medical claims

· Reviews claims to ensure proper information to complete processing

· Works with peers and Claims Manager to manage the day-to-day inventory of their respective queues to ensure that turnaround time guarantees are consistently met

· Handles claim receipt reconciliation, payment cycle authorization, and reconciliation

· Participates in and leads projects related to automation improvements or software upgrade testing. Approves software upgrade approval upon review of testing results

· Participates in and serves as SME expert in meetings with IT, Finance, Compliance, Configuration, Training Provider Services

Claims Operations Supervisor Key Requirements/Qualifications:

· Bachelor's Degree or four years of direct medical claims processing experience with 2 years in a lead or supervisory capacity in a medical claims processing environment

· 3 years of complex direct medical claims processing experience with 2 or more years as a Lead/Supervisor in a medical claims environment

· Demonstrated flexibility to adapt to changes in procedures and job assignments

· Proven ability to lead/supervise a team and independently seek solutions to problems

· Excellent written and verbal communication skills

· Well-developed analytical skills to evaluate and determine the appropriate course of action

Please apply today or contact your nearest Doherty recruiter with any questions.

  • Brooklyn Park: 952-715-5200
  • Edina: 952-832-8363
  • Minneapolis: 612-208-1611
  • Roseville: 651-489-5000

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