Supervisor, Claims Operations

🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $60k - $65k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

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Allied Benefit Systems

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1980

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

Allied Benefit Systems is a national healthcare solutions company that provides health plan administration, care and cost management, provider network services, and data analytics to employers, members, and benefits consultants. The company focuses on reducing healthcare costs, optimizing plan performance, and improving member experience through administrative services, analytics & insights, and customizable provider networks.

📋 Description

• Help the Management team monitor the daily work within the Claims department • Responsible for the training and development of new hires and existing department staff • Plan and maintain workflows, procedures and policies that enable and encourage optimum performance • Lead employees to meet Allied’s expectations for productivity, quality, and goal accomplishment • Assist with development and implementation of workflows to improve consistency and accuracy • Ensure adherence to privacy and security laws including HIPAA, HITECH • Monitor all reports including Workflow Manager, Pended claims, Suspended claims, Audits, and Automation • Attend continuing education classes as required, including HIPAA training • Lead, coach, motivate and develop team members

🎯 Requirements

• High school diploma required • Bachelor’s degree or equivalent work experience in the healthcare industry preferred • 3 -5 years of experience in healthcare and/or insurance industry preferred • 1-3 years prior supervisory experience preferred • Strong analytical skills • Knowledge of computer systems • Knowledge of CPT and ICD-9 coding terminology • Minimum of 5 years of medical claims analysis and adjudication experience (including dental and vision claims analysis) • Experience in management and training preferred but not required.

🏖️ Benefits

• Medical • Dental • Vision • Life and Disability Insurance • Generous Paid Time Off • Tuition Reimbursement • EAP • Technology Stipend