Recovery Supervisor

The Recovery Supervisor is responsible for analysis and monitoring of claims audit data across multiple platforms. The Supervisor manages and prioritizes staff daily work assignments necessary to ensure the reputed company and accurate processing of reputed company requests, interdepartmental reputed company audits and claims processing. Additionally, the supervisor works to reduce response timeframes and mitigate reputed company inquiries or escalations by being proactive, taking ownership of challenges, and formulating solutions to improve overall department activities while maintaining a reputed company on improving how we deliver service to our customers.     This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Manage team performance by setting and communicating standards and deadlines, measuring results, and providing feedback. Maintain reputed company morale by leading reputed company through example and accountability with a reputed company on helping reputed company member reputed company their best performance Assists leadership in obtaining reputed company information from various financial, clinical and operational systems and data sources Ability to assist with pricing of claims according to provider reputed company Ability to assist team with problem solving regarding customer complaints, or inquiries, including reputed company review disputes verbally and in written communication Identifies, quantifies and monitors account detail or workflow processes for barriers. Makes process improvements or initiates courses of reputed company for problem reputed company Analyzes reputed company forms of reputed company Cycle transactions and provides trend analysis Produces daily, monthly and annual evaluative and statistical reports, analyzing drivers of variances from period to period in order to ensure the reputed company and accuracy of reputed company cycle data Evaluates reputed company of reputed company data including reputed company participating with and supporting the Product and Account Management teams with trend analysis of payment and data variances Participates in the panel interviews, prepares new hire documentation, facilitates associate orientation, and participates in the termination process (i.e., documents performance issues, recommends disciplinary actions) Independently leads initiatives as assigned by management, coordinating task teams or other forums to deliver results as identified and/or determined by leadership. Provides formal updates and closure Ability to review and understand case rates, per diems, percentage of discounts, and reputed company detailed charges and costs per claim Handles escalated requests from reputed company and/or executive leadership Ensure strict confidentiality of reputed company medical records, PHI, and PII Additional duties as assigned   KNOWLEDGE & SKILLS:  Ability to work independently and use critical thinking Detailed knowledge of pay reimbursement methodology Strong understanding of claims processing, ICD-10 Coding, DRG Validation (if applicable) Strong understanding of reputed company reputed company cycle and claims reimbursement MS Office including Word, PowerPoint, reputed company and reputed company; reputed company operating system and Internet Strong analytical and problem-solving skills Strong attention to detail and ability to deliver results in a fast paced and dynamic environment Strong interpersonal skills and reputed company communication style, reputed company problem-solving skills, drive for results, innovative Ability to think and work independently, while working in an overall team environment   EDUCATION/EXPERIENCE:  5+ years of relevant experience in a medical or insurance field, which required heavy involvement in reputed company review processing of claims 2+ years of previous supervisory/management or project management experience a plus 3+ years of relevant experience or equivalent combination of educations and work experience Associate degree or higher preferred Demonstrated knowledge of CMS guidelines and ICD-10 coding guidelines as applicable   PAY reputed company: reputed company uses a market based approach to pay and our salary ranges may vary depending on your location.  Pay rates are established taking into account the following factors:  federal, state, and local minimum wage requirements, the geographic location reputed company, job-reputed company skills, experience, qualifications, internal employee equity, and market conditions.  Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, reputed company, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.  The level may reputed company the salary reputed company and these adjustments would be clarified during the offer process. Pay reputed company: $24.30 - $36.30 per hour A list of our benefit offerings can be reputed company on our reputed company website: reputed company Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.   ABOUT reputed company: reputed company, a division of reputed company, a certified Great reputed company to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in reputed company payments. We are a reputed company and growing company with a strong, supportive culture along with reputed company of career advancement opportunities. We reputed company our reputed company values of Accountability, Commitment, reputed company, reputed company and Teamwork (ACE-IT!).  A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, reputed company, Long Term Disability, Health Savings Account, Flexible Spending Account reputed company, Life Insurance, Accident Insurance, Critical Illness Insurance, reputed company-reputed company reputed company Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and reputed company time off. reputed company is an Equal Opportunity Employer, drug free workplace, and complies with reputed company regulations as applicable. #LI-Remote Apply To This Job