Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.Job Posting TitleSupervisor, Billing - RemoteJob Description SummaryResponsible for managing team(s) to meet or exceed customer requirements and business objectives. Accountable for team's performance. Serves as subject matter expert and trains new employees. Interfaces directly with customers, members and/or providers to resolve customer concerns. Assumes additional responsibilities in the absence of the Manager/Director.Job Description
Must be able to work 10am to 6:30pm Eastern.
Manages cross-functional team members to meet or exceed service requirements.
Examines and analyzes the team's performance; develops, recommends and implements plan(s) of action to improve the team's service level.
Evaluates multiple reports to assess work distribution/delegation in order to meet client expectations and/or state regulations.
Reports performance results to account management.
Demonstrates flexibility in assigning resources based on business need and fluctuating inventory.
Adheres to budget allocations.
Provides ongoing feedback and coaching to ensure appropriate levels of performance.
Recognizes and rewards effectively.
Provides appropriate levels of direction and support.
Follows corporate and departmental polices and guidelines.
Utilizes corporate tools for performance appraisals.
Engages team members in development planning and progress.
Identifies training needs within the team.
Works independently and/or through other sources to develop a training plan.
Maintains a positive work environment that supports self-directed teams; provides a structure to optimize the experience, skill, knowledge and capability of the team; facilitates collaboration among team members.
Interfaces with customers (internal and external) by telephone, correspondence and/or in person to answer inquiries and resolve concerns.
Assesses, investigates and resolves difficult issues; Assist in preparing and/or conducting customer presentations; Partners with account management to achieve customer satisfaction.
Facilitates regular team meetings, with an agenda and minutes; disseminate information consistently and timely; ensure all claims processing documentation is current and accurate; Interacts professionally, and presents ideas and information with confidence.
Recruits, attracts, develops, motivates and manages a high caliber of employees; Trains employees on products, policies and procedural changes.
Orients new employees
Responsibilities5+ years claims processing experience or combination of claims processing and direct customer service experience
Knowledge of MS Office software, specifically Excel
Expert knowledge of medical terminology and ECD-9/CPT-4 coding experience
Experience in processing various products including HMO/PPO and Indemnity under both fully insured and self-funded arrangements
Experience managing budgets
1+ years direct supervisory experience
Strong influencing, negotiation and analytical skills
Team advocate
Work ExperienceWork Experience - Required:Claims, SupervisoryWork Experience - Preferred:EducationEducation - Required:GED, High SchoolEducation - Preferred:CertificationsCertifications - Required:Certifications - Preferred:Potential pay for this position ranges from $52,250.00 - $78,390.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/careers/benefits/) and click on the "Benefits at a glance" button for more detail.Prime Therapeutics LLC is an Equal Opportunity Employer and a Tobacco-free workplace . We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures .Positions will be posted for a minimum of five consecutive workdays.Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email [email protected].