Supervisor, Repricing
Allied Benefit Systems, LLC, United States
Job Description
Job Title: Supervisor, Repricing
Department: Repricing
FLSA Status: Exempt
Job Status: FT
Reports To: Assistant Manager, Repricing
Positions Supervised: Repricing Department
Work Schedule: Monday Friday, Normal business hours
POSITION SUMMARY
The Repricing Supervisor oversees daily reporting and tracking of Repricing department workflows, training, and maintaining manuals and documentation. This position works directly with Allied’s vendors and PPO networks to facilitate new business setup and assist with team development and performance.
ESSENTIAL FUNCTIONS
- Oversees work activities and monitors workflow to ensure systems and procedures are documented, training material developed, and reports generated to meet business needs.
- Motivates team members to ensure efficient and effective operational outcomes.
- Leadership responsibilities include training staff; planning, assigning, and directing work; appraising performance; rewarding and counseling employees; addressing complaints and resolving problems.
- Review of all inbound Appeals and distribution.
- Track claim adjustment projects.
- New Business and renewal setup and coordination.
- Perform back up to support the team as needed.
- Lead and collaborate ad hoc projects.
- other duties as assigned
POSITION QUALIFICATIONS
- Communication Communicates effectively both internally and externally, where applicable. Includes both written and verbal communication.
- Employee Management Defines responsibilities, motivates employees, delegates well and rewards appropriately.
- Initiative Takes action independently, seeks new opportunities, and strives to see projects to completion.
- Innovation Creative, offers new ideas, risk taker and amenable to change.
- Interpersonal Skills Builds strong relationships, is flexible/adaptable, works well with others, and solicits feedback.
- Job Knowledge Understands the facets of job, aware of duties and responsibilities, and keeps job knowledge current.
- Leadership Provides strong leadership, sets a good example as a skilled decision maker, motivator and encourager.
- Problem Solving Strives to understand contributing factors, works to resolve complex situations.
- Productivity Manages workload, works efficiently, and meets goals and objectives.
- Quality Strives to eliminate errors, accurate work is a priority, seeks opportunities to improve product/services
- Self-Development Looks for opportunities to increase knowledge, works to increase responsibility, strives to achieve personal goals and/or maintains licenses and other pertinent requirements.
- Teamwork Accountable to team, works to meet established deliverables, appreciates view of team members, and respectful.
- Technical Skills Maintains current understanding of technical process/equipment, uses technology to increase performance/productivity; effectively uses online tools and resources.
SKILLS amp; ABILITIES
Word Intermediate
Excel Intermediate or better
Access Intermediate or better
Communication excellent written and verbal
Experience
Minimum two (2) years supervisory experience
Medical claims process, billing, experience a plus
Education
High School education required
Certificates amp; Licenses
N/A
PHYSICAL DEMANDS
None
WORK ENVIRONMENT - Modern office suite in high rise building in downtown Chicago. Flexible hours, ability to work from home upon tenure requirements and approval from manager.