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Contact Name: DAVE

Job Details: Medicare Supervisor Date: Apr 08 2021

Job Reference: 2771
Job Category: Health Care Jobs [ View All Health Care Jobs Jobs ]
Company Type Recruiter
Employment type: Full Time, Contract
Degree: High School
Experience: 3 years
Location: Cincinnati, Ohio, 45201
Job Skills: Medicare Supervisor
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Job Description

Interview, hire, train, audit and review team members
Lead, supervise, motivate and monitor team members to ensure compliance with policies, procedures and standards
Advise Manager of any workflow, personnel, client or carrier issues or improvement opportunities within the Medicare Services department and in other operational departments
Support and assist team members with difficult issues concerning work, co-workers, clients and/or carriers; offer suggestions to assist in process of underpayment reviews and collections
Ensure team successfully achieves quality, productivity and collection goals
Participate in workflow examination or special projects as directed by management
Build strong, lasting relationships with clients, payors and personnel
Maintain regular contact with necessary parties regarding claims status including payors, clients, managers and other personnel
Direct claims to and coordinate and support specialty units
Attend client, department and company meetings
Investigate various issues with carriers and their contracts; respond to questions and resolve problems
Perform duties and responsibilities of Medicare Services Analysts as needed and instructed by Manager
Comply with federal and state laws, company and department policies and procedures

Essential Skills and Experience:-

3-years of experience in an operation setting involving Medicare Services
2-years supervisory experience
High School diploma or equivalent
Moderate computer proficiency including working knowledge of MS Excel, Word and Outlook
Analytical and problem solving skills
Organization and documentation skills to ensure timely follow-up and accurate record keeping
Mathematical skills: ability to calculate rates using addition, subtraction, multiplication and division
Ability to read and interpret an extensive variety of documents such as contracts, claims, instructions, policies and procedures in written (in English) and diagram form
Ability to present write routine correspondence (in English)
Ability to present ideas on complex, detailed issues with ease
Ability to define problems, collect data, establish facts and draw valid conclusions
Strong customer service orientation
Excellent interpersonal and communication skills
Strong team player
Commitment to company values

Non-Essential Skills and Experience:

Related Professional License/Certification(s)
Associate or Bachelor's Degree preferred but not required

Bottom line requirements we need notes on with candidate submittal:

1. 3 + years of experience in an operation setting involving Medicare Services.
2. 2+ years of supervisory experience.
3. High School diploma or higher education.

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