Denial Management Client Supervisor - Remote

Job Purpose

The Client Supervisor will provide leadership to client team(s) including supervision of staff, reviewing of processes, and providing recommendations for improvement of operations. The Client Supervisor will work with management to understand and communicate the root cause of denials and provide data to assist the client to implement effective processes to correct actions. This person will meet or exceed Denial Management KPI benchmarks and client specific KPI's while maintaining or exceeding team productivity and quality standards. In this position, the Client Supervisor assists with recruiting, interviewing, and orienting new employees, monitoring and evaluating staff performance, and ensuring all employees have the tools and training for optimal productivity.

Duties And Responsibilities

• Provide supervision related to educating and training staff, evaluating staff performance and monitoring productivity.
• Actively participate in interviewing, hiring, training, evaluating, and developing staff where applicable.
• Develop and maintain quality control programs, including in-depth and individual performance reviews.
• Orient new hires and provide in-services and training, continuing education, and development related to those functional areas of responsibility.
• Work in conjunction with Manager, Client Management, to set and supervise target performance levels.
• Actively engage with client(s) to understand needs and deliverables with the goal of creating a true partnership.
• Provide back-up support to Manager with relation to client presentations.
• Develop solid working relationships with new and existing clients.
• Responsible for ensuring all high-priority cases (e.g. cases included on client reporting, cases where client and/or patient request an update) are addressed.
• Provide prompt responses to client questions.
• Ensure that team stays current with client requirements and industry requirements and/or trends.
• Actively engage with and supervise Denial Management team, including routine productivity and quality reviews.
• Assure that team is meeting follow up quality and productivity standards.
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
  
  

Qualifications

• Bachelor's degree or equivalent combination of education and experience
• 3 years' experience in a supervisory position
• Ability to work well individually and in a team environment
• Must be reliable, responsible, goal oriented and flexible
• Results driven
• Excellent interpersonal, communication and organizational skills
• High degree of integrity including ability to successfully deal with sensitive or confidential information
• Ability to exhibit poise, composure and confidence when confronting stressful or high pressure situations
• Proficiency in Microsoft Office Suite
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented 
• Excellent written and verbal communication skills required
  
  

Working Conditions

• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.
  
  

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.