Manager, Mailroom

The pay range above represents the minimum and maximum rate for this position in California. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. Salary range will vary for remote positions outside of California and future increases will be based on the pay band for the city and state you reside in.

Work Culture:

GCHP strives to create an inclusive, highly collaborative work culture where our people are empowered to grow and thrive.  This philosophy enables us to create the health plan of the future and do our best work – Together.

GCHP promotes a flexible work environment. Employees may work from a home location or in the GCHP office for all or part of their regular workweek (see disclaimer).

GCHP’s focuses on 5 Core Values in the workplace:

•    Integrity

•    Accountability

•    Collaboration

•    Trust 

•    Respect

Disclaimers:

•    Flexible work schedule is based on job duties, department, organization, or business need.

•    Gold Coast Health Plan will not sponsor applicants for work visas.

POSITION SUMMARY

The GCHP Manager, Mailroom will report to the Senior Manager, Operations and is responsible for overseeing the daily operations of the mail room within the claims processing department. This role is responsible for managing the intake, sorting, and processing of medical claims and related documentation, ensuring compliance with regulatory standards and organizational policies. The Manager, Mailroom will possess strong leadership skills, a thorough understanding of healthcare claims processing, and a commitment to operational excellence.

Reasonable Accommodations Statement

To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.

Amount of Travel Required: up to 15%

ESSENTIAL FUNCTIONS

Job Function & Responsibilities

•    Manage and mentor mail room staff, providing guidance and support in their daily tasks.

•    Conduct performance evaluations and facilitate training programs to enhance team skills.

•    Manage the receipt, sorting, and distribution of incoming claims and correspondence.

•    Ensure timely and accurate processing of claims to meet organizational and regulatory deadlines.

•    Develop and implement efficient workflows for mail room operations to maximize productivity.

•    Monitor mail room processes and adjust as necessary to improve efficiency.

•    Ensure adherence to all applicable regulations, standards, and policies related to claims processing.

•    Conduct regular audits of claims processed to maintain quality and accuracy.

•    Prepare and analyze performance reports related to mail room operations and claims processing metrics.

•    Identify trends and areas for improvement, proposing solutions to enhance overall performance.

•    Work closely with other departments, including claims adjudication, customer service, and IT, to resolve issues and streamline processes.

•    Serve as a point of contact for escalated claims-related inquiries and issues.

•    Oversee the use of claims processing software and mail handling equipment, ensuring proper maintenance and updates.

•    Participate in the selection and implementation of new technologies to improve mail room operations

MINIMUM QUALIFICATIONS

Education & Experience: 

•    High school diploma or equivalent required; BA in healthcare administration, business or related field preferred

•    Minimum 5 years previous experience in a supervisory or management role of mailroom or administrative role, preferably in a healthcare or insurance environment.

Equivalent In lieu of degree: Five years of experience must be added in lieu of a bachelor’s degree.

KNOWLEDGE, SKILLS & ABILITIES   

Preferred Qualifications:    

•    Strong knowledge of healthcare regulations, coding, and billing practices.

•    Excellent organizational, communication,