Claims Production Supervisor

HealthPartners is hiring a Supervisor for Claims Production. This role will manage and monitor the expedient and accurate adjudication of claims and adjustments and/or refunds. They will organize and oversee the overall resolution of written and verbal inquiries from internal and external members. This role provides guidance, motivation, and support necessary to enable individual growth and team work in line with the individual needs, department objectives, and marketplace expectations.

ACCOUNTABILITIES:

Responsible for the supervision of staff, including having the authority to hire, transfer, lay off, promote, discipline and discharge, train, reward and review performance of employees. Ensures compliance to organizational and departmental policies and procedures.

Ensure, direct, and/or provide the training of staff, both permanent and temporary to the Claims Department

Promote teamwork and encourage high levels of morale and motivation.

Create high performance work teams through the use of performance measurements, individual goal setting, and monitoring and evaluation of results.

Work with staff to develop and implement goals and objectives both individual and for the department.

Motivate staff to meet/exceed department quality and production expectations

Identify staff performance issues and prepare and implement action plans to resolve problems

Work with Technical Support Coordinators to determine level of claims requiring auditing for each examiner.

REQUIRED QUALIFICATIONS:

Bachelor's Degree in management, business, health care, human relations, or related area, or Associate Degree with at least 2 years of leadership/management experience. Education may be waived with a minimum of 4 years of leadership/management experience.

Detailed understanding of the health care industry, including internal operations of insurers and provider network arrangements.

Ability to interact with all levels of HealthPartners staff and external customers

Must be able to establish and maintain effective, courteous and confidential relationships with staff, providers, and members.

Strong interpersonal and human relations skills.

Work independently and as a team member.

Ability to lead others through change and to be flexible and adaptive to changes; ability to make immediate adjustments to work direction.

Provide an environment that fosters enthusiasm; pride in the job, and commitment to the goals and visions of HealthPartners.

Establish a working environment free from harassment and discrimination.

Demonstrate effectiveness in evaluation employees and giving feedback.

Ability to identify training needs and provide learning opportunities.

Ability to make verbal presentation and lead discussions

Advanced analytical skills and problem solving ability.

Experience in interpretation and implementation of technical data and contracts.

Proven logical and principle-based decision making, and ability to meet deadlines.

Strong organizational and time management skills.

Working knowledge of CQI process and principles.

Computer knowledge.

General knowledge of accounting principles

PREFERRED QUALIFICATIONS:

Bachelor's Degree in management, business, health care, human relations, or related area, or Associate Degree with at least 4 years of supervisory experience in a health care setting.

2-4 years HealthPartners claims experience and familiarity with the goals and objectives of HealthPartners.

Experience processing claims and a general knowledge of various processing systems.

Working knowledge of Collective Bargaining Agreements.

Project management experience.