Top 2840 Claims processing supervisor Jobs

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5d
Supervisor, Epic Enrollment and Benefits (Tapestry) Applications (Remote Considered) )- 26-68
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Supervisor, Epic Enrollment and Benefits (Tapestry) Applications (Remote Considered) )- 26-68

PriMed Management Consulting Services, Inc. -
San Ramon, CA

Quick Apply

Job Details

Full-time
$123,400 - $165,500 a year
5 days ago

Qualifications

Staff supervision
Epic Certification
Epic
Technical Proficiency

Full Job Description

We’re delighted you’re considering joining us!

At Hill Physicians Medical Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.

Join Our Team!

Hill Physicians has much to offer prospective employees. We’re regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” When you join our team, you’re making a great choice for your professional career and your personal satisfaction.

DE&I Statement:

At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.

We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!

Job Description:

The I.T. leader shares power, puts the needs of the employees first and helps people develop and perform as highly as possible. I.T. leadership inverts the norm, which puts the individual contributor as a main priority. Instead of the people working to serve the leader, the leader exists to serve the people. These positions have varying and progressive degrees of detail vs strategic pursuits. The percentage of time spent doing day-to-day tasks will decrease as the individual progresses through leadership. By the time the leader is in a senior role, they will be more focused on strategy execution than the actual individual tasks. The I.T. leader supports a number of I.T. staff, Supervisors and Managers depending on the role and rank within the I.T. organization.

Specialization

Under the leadership of the Manager of Managed Care Applications, the Epic Enrollment and Benefits (Tapestry) Applications Supervisor plays a crucial leadership role in overseeing the accurate and efficient support of enrollment and benefits data through the Epic Systems Tapestry application. You will lead and manage a team of enrollment and benefits application analysts, ensuring accuracy, compliance, and timely issues resolution our enrollment and benefits processes. Acting as the primary point of contact for users of the Tapestry application in relation to enrollment and benefits processing, Epic Enrollment and Benefits (Tapestry) Applications Supervisor will:

Job Description:

Manage the utilization of the Tapestry application to oversee the management and maintenance of accurate enrollment and benefits data ensuring accuracy, integrity, and completeness
Ensure compliance with industry standards and regulatory requirements related to enrollment and benefits
Provide expert-level technical support, troubleshoot application-related issues, and resolution of complex problems
Collaborate with and lead internal teams to understand and address the organization's enrollment and benefits needs, implementing system updates and enhancements
Works closely with Managed Care Manager on planning and executing strategic objectives and project initiatives
Provide strategic insights and recommendations and lead teams in the implementation of workflow optimizations to enhance efficiency and user satisfaction, creating and maintaining user-friendly documentation, guides, and best practices for application usage.

Qualifications

Bachelor's degree in a related field (Healthcare Administration, Information Systems, etc.) or equivalent experience
5+ years of experience in healthcare enrollment and benefits processing, with a minimum of 2 years in a supervisory or leadership position
Proficiency with the Epic Systems Tapestry application is a required
Epic Certification in Benefits Admin and/or Eligibility & Enrollment Admin required
Knowledge of healthcare regulations and compliance, including HIPAA, is preferred

The I.T. Supervisor reports directly to an I.T. Manager or Sr. Manager. The Supervisor will have expertise in one or more functional areas providing day-to-day direction to several individual contributors. The Supervisor’s responsibility is to ensure that the tasks assigned are accomplished within the time frame and specification requested. The Supervisor shall monitor and measure all staff members’ activities and provide feedback to the team on agreed-upon performance success criteria. Scope of management includes at least five (5) direct reports and no more than twelve (12) except under special circumstances.

To the People they support
- Ensures that employees understand the purpose and vision of the organization and the team’s connection to purpose
- Works to ensure that employees are engaged and productive
- Performs annual performance evaluations ensuring that employees are aware of challenges before review
- Encourages participation in employee surveys and action plans
- Monitor and measures employee workloads helping with prioritization and escalation as needed
- Coaches team members on career development and individual development plans
- Facilitates team daily or weekly team standup to discuss activities and determine barriers
- Team champion
To the Product(s) they support
- Monitors and measures supported system performance
- Identify system challenges and works with the team to reduce errors and improve efficiency
- Fully support and use the PRISM Change Management process
- Ensure all incidents and problems are entered into PRISM
To the Leadership / Business they support
- Supports the I.T. and Business Leadership in organizational goals
- Ensures teams adherence to service level agreements
- Ensures teams compliance with PRISM Service Management Standards

Required Experience and Professional Skills

Experience

5+ years of experience in healthcare data management and or payor contracts, with a minimum of 2 years in a supervisory or leadership position

Professional Skills

Proficiency with the Epic Systems Tapestry application is a required
Epic Certification in Claims Admin and/or Cheers required
Knowledge of healthcare regulations and compliance, including HIPAA, is preferred

Required Education and Certifications

Master’s/Bachelor's degree in a related field (Healthcare Administration, Information Systems, etc.) or equivalent experience

Additional Information

Salary

$123,400.00 - $165,500.00 Annual

Work location: San Ramon/San Joaquin Valley/Sacramento OR Remote

Hill Physicians is an Equal Opportunity Employer

Quick Apply

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claims processing supervisor jobs

Supervisor, Epic Enrollment and Benefits (Tapestry) Applications (Remote Considered) )- 26-68

Supervisor, Epic Enrollment and Benefits (Tapestry) Applications (Remote Considered) )- 26-68

Supervisor, Epic Enrollment and Benefits (Tapestry) Applications (Remote Considered) )- 26-68

Supervisor Claims

Claims Processing Supervisor

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Assistant Case Manager - Personal Injury

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Case Manager - Class Action Settlement Administrator

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