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.
We understand some candidates have been redirected to this posting from another site. If so, welcome! Please take a moment to visit our website at www.onlinebls.com to learn more about our organization and exciting career opportunities. Like what you see here? If so, click the apply button below and begin the application process. Short on time? We understand! Simply email your updated resume to recruiter@bottomlinesystemsinc.com for review and consideration.

Bottom Line Systems - 18 months ago - save job - - block
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