Claims Supervisor - Norton, VA - Onsite

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!

Modivcare is looking for an experienced Supervisor - Claims to join our team, responsible for assisting with the management of the Claims Department and acts as a liaison between the transportation providers and the company.

This role...

• Supervises, manages and develops a team to meet operational and contractual goals.

• Coaches and mentors team members.

• Completes performance reviews for team members.

• Provides a high level of customer service to the Operational offices supported by the Claims team and the Claims office.

• Researches issues regarding the processing of transportation claims.

• Reviews team work performance to ensure accuracy and efficiency.

• Works through the Claims team to handle claims disputes with transportation providers and/or members.

• Communicates directly with the transportation providers and/or members if an issue is escalated.

• Oversees the mailing of claims payment checks with the appropriate explanation of payment.

• Creates, analyzes and reports on the statistical information regarding the performance of the claims department.

• Ensures all Claims office deadlines are met.

• Ensures the adherence to all company policies and procedures by each team member.

• Develops and improves work processes.

• Participate in other projects or duties as assigned.

• Determines appropriate resourcing of staff in order to achieve goals and objectives.

• Coaches employees on performance gaps, career development opportunities, and strategies.

• Mentors and coaches employees on all human resource related processes including onboarding, performance management, employee relations, compensation and rewards.

• Recognizes others’ contributions and share credit for success.

• Owns attainment of high employee satisfaction and retention; lead development of program and initiatives within group to attain high employee satisfaction.

• Prepares and manages budget as assigned; analyzes variances and initiates corrective actions to maximize operational performance.

We are interested in speaking with individuals with the following…

• Bachelor's Degree required.

• Four (4) plus years experience.

• Up to one (1) years leadership responsibility.

• Experience with healthcare related billings. This should include a working knowledge of HCPCS, ICD-9 and Condition codes.

• Three (3) years data processing experience preferred.

• Or equivalent combination of education and/or experience.

• Strong ability to use thinking and reasoning to solve a problem.

• Excellent communication skills, both verbal and written.

• Excellent ability to take care of the customers’ needs while following company procedures.

• Ability to make critical decisions while following company procedures.

• Ability to get along well with a variety of personalities and individuals.

• Ability to influence others to perform their jobs effectively and to be responsible for making decisions.

• Excellent ability to organize and direct oneself and effectively supervise others.

• Excellent ability to find a solution for or to deal proactively with work-related problems.

• Ability to effectively build relationships with customers and co-workers.

• Driven ability to complete assigned tasks under stressful situations.

• Knowledge of and proficiency in quality improvement tools and processes.

• Demonstrated initiative; and ability to follow instructions and complete assignments in a timely manner.

• Proven experience dealing with crisis and ability to create processes that best benefit the entire team.

• Model excellent customer service and phone skills.

• Strong management and organizational skills.

• Able to handle multiple tasks simultaneously.

• Ability to accurately type 35+ words per minute.

• Proficient in Microsoft Word, Excel, Access, PowerPoint and Outlook.

Salary: $52,900 - $65,000

Bonus eligible based on individual and company performance.

Modivcare’s positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received.  We encourage our prospecti