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Claims Service Supervisor, Santa Barbara, CA


CenCal Health

Supervisor

Santa Barbara, CA

June 1, 2018


Claims Service Supervisor

Description

Duties and Responsibilities

  • Provide direction, evaluation and support for the Service Representatives and Document Control Coordinator
  • Ensure that staff is advised of all procedural changes in a timely manner
  • Review quality control audits with staff to ensure compliance within established department guidelines, policies and procedures; identify errors and deficiencies; develop and implement corrective action and training plans for staff when necessary
  • Prepare and conduct performance evaluations for all staff supervised on an ongoing basis;
  • Prepare and maintain payroll information for those staff supervised
  • Facilitate and assign special projects to the appropriate staff
  • Gather, analyze, prepare and log daily, weekly and monthly statistical data pertaining to the Service and Mailroom areas
  • Work with Provider Services Department staff as necessary in assisting provider offices with higher level concerns and/or complaints as needed
  • Assist with escalated provider complaint calls when necessary, documenting and logging each
  • Prepare, create and present workshop presentations for CenCal Health’s provider community pertaining to the Claims Department
  • When needed, participate in the interview process for the selection of qualified candidates for the positions it supervises
  • Attend various interdepartmental meetings in order to maintain open communication between Agency Departments
  • Maintain processes and timelines required by AB1455 Claims Settlement Practices and DHCS Regulations
  • Document weekly accomplishments
  • Other duties and projects as assigned

Qualifications

Experience

Required

  • 2-3 years: Supervisory experience
  • Excellent oral and written communication skills
  • Strong supervisory skills

Preferred

  • Experiencing processing claims or in healthcare industry

To apply: https://recruiting2.ultipro.com/SAN1015SBHA/JobBoardView


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