Hospital Claims Analyst Supervisor - West PA
Bottom Line Systems - Pittsburgh, PA

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Position Summary: Primarily Responsible for leadership and management of the daily workflow of the assigned region.

Essential Duties and Responsibilities:
  • Interview, hire, train, audit and review team members
  • Lead, supervise, motivate and monitor team members to ensure compliance with BLS policies, procedures and standards
  • Advise Area Vice President of any workflow, personnel, client or carrier issues or improvement opportunities both within the region and in other departments
  • Support and assist team members with difficult issues concerning work, co-workers, clients and/or carriers; offer suggestions to assist in process of underpayment reviews and collections
  • Ensure team successfully achieves BLS quality, productivity and collection goals
  • Participate in workflow examination or special projects as directed by management
  • Build strong, lasting relationships with clients, payors and BLS personnel
  • Maintain regular contact with necessary parties regarding claims status including payors, clients, managers and other BLS personnel
  • Direct claims to and coordinate and support BLS specialty units
  • Attend client, department and company meetings
  • Prepare and submit correspondence such as letters, emails, online inquiries, appeals, adjustments, reports and payment posting
  • Perform duties and responsibilities of Claims Analysts as needed and instructed by Area Vice President
  • Ability to travel by automobile or public transportation to visit and/or set up work sites
  • Comply with federal and state laws, company and department policies and procedures
Essential Skills and Experience:
  • Minimum 5-years experience in an operational setting, preferably in managed care or hospital patient accounts
  • Minimum 2-years supervisory experience
  • High School diploma or equivalent
  • Moderate computer proficiency including working knowledge of MS Excel, Word and Outlook
  • Analytical and problem solving skills
  • Organization and documentation skills to ensure timely follow-up and accurate record keeping
  • Mathematical skills: ability to calculate rates using addition, subtraction, multiplication and division
  • Ability to read and interpret an extensive variety of documents such as contracts, claims, instructions, policies and procedures in written (in English) and diagram form
  • Ability to present write routine correspondence (in English)
  • Ability to present ideas on complex, detailed issues with ease
  • Ability to define problems, collect data, establish facts and draw valid conclusions
  • Strong customer service orientation
  • Excellent interpersonal and communication skills
  • Strong team player
  • Commitment to company values
Non-Essential Skills and Experience:
  • Related Professional License/Certification(s) (CPAR, ACPAR, CFD, CHFP, CRCR, State Specific, etc are a plus!)
  • Associate or Bachelor's Degree preferred but not required for review and consideration.
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Bottom Line Systems - 2 years ago - save job
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