The Customer Service Supervisor will be responsible for daily operations within the Provider Relations department. The Supervisor manages and prioritizes staff daily work assignments necessary to ensure the timely and accurate processing of internal and external requests along with appeal submissions. Additionally the supervisor works to reduce response timeframes and mitigate future inquiries or escalations by being proactive, taking ownership of challenges, and formulating solutions to improve overall department activities while maintaining a focus on improving how we deliver service to our customers.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• Ability to assist team with problem solving regarding customer complaints, or inquiries, including bill review disputes verbally and in written communication
• Ability to review detailed provider appeals and provide both verbal and written communication that includes industry regulations along with applicable client policies
• Maintain an awareness of current laws, statutes, regulations, etc. that impact healthcare operations, and assist in design strategies for implementation activities within the organization
• Responsible for ensuring new employees are oriented to the organization, its policies, facilities, etc. Supervisors should also provide ongoing guidance to employees, often in the forms of ongoing career coaching, counseling and performance appraisal
• Develops and maintains strong collaborative relationships with internal departments and external clients to maintain excellent lines of communication and share resources to meet business objectives
• Monitors employee performance and identifies any training issues for employees
• Builds customer relationships, interprets customer needs and assesses their business requirements
• Assists with special projects as assigned by leaders such as interim or stretch roles for personal growth opportunities, collaboration, and providing support to other departments as needed
• Standard supervisory duties such as: time approval, annual performance review

KNOWLEDGE & SKILLS:

• Proven strong leadership skills as a performer/leader
• Knowledge of Medicare (CMS) and Medicaid regulations, regulatory compliance, Managed Care, and medical claims processing guidelines
• MS Word, Excel and Outlook experience, which extends beyond just their basic functionality. (i.e. – pivot tables, conditional formatting, advanced formulas)

EDUCATION & EXPERIENCE:

• 5 years of relevant experience in a medical or insurance field, which required heavy involvement in bill review processing of claims
• 2 years of previous supervisory/management or project management experience a plus
• Bachelor’s degree or higher preferred

About CERiS

CERiS, a division of CorVel Corporation, a certified Great Place 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 healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.