What are the responsibilities and job description for the SUPERVISOR - CLAIMS position at UHS?
Responsibilities
SUMMARY: Responsible for assisting the Manager to ensure the effective and efficient operations in the office of Prepaid Business Services. Ensure claims compliance, monitor productivity and accuracy standards, and counsel staff accordingly. Prepare the claims examiners Accuracy and Productivity reports and submit to the Manager by the 15th of every month. Oversee the Claims Clerks and Claims Examiners to ensure the claims are being processed in accordance with all governmental and health plan requirements for accuracy and timeliness. Oversee the Customer Service unit to ensure the calls received are handled accurately and timely. Prepare and submit to the Manager, the Monthly Timeliness Reports for submission to the HMO’s by the 10th of every month. Prepare and administer Employee Annual Performance Evaluations.
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Functional knowledge with working in Microsoft Word and Excel software programs is required. Working knowledge of Access Database program.
Qualifications
EDUCATION and/or EXPERIENCE: High school diploma or general education degree (GED); or 3-5 year’s related health care experience and/or training in claims processing; or equivalent combination of education and experience.
Salary : $0
