Claims Processing Supervisor supervises the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures the accurate and timely disposition of claims and resolves matters according to coverage amounts and company procedures. Being a Claims Processing Supervisor provides guidance to staff on more complex or high-value claims. Reviews and resolves escalated issues. Additionally, Claims Processing Supervisor requires a high school diploma. Typically reports to a manager. The Claims Processing Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. To be a Claims Processing Supervisor typically requires 3 years experience in the related area as an individual contributor. Thorough knowledge of functional area under supervision. (Copyright 2024 Salary.com)
Overview Today, SCA Health has grown to 11, teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care.
Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal : delivering on the quadruple aim of high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care.
As part of Optum, we participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment, Only SCA Health has a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge : We connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business.
We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives to support growth and transition to value-based care.
We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, that provides easy predictable billing to patients.
We help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines. The new SCA Health represents who we are today and where we are going and the growing career opportunities for YOU.
Responsibilities The Sterile Processing Clerk (Instrument Processing Technician) is responsible for maintaining instruments and equipment in an optimal fashion and preparing instrumentation, equipment, and sterile supplies for the surgical patient.
Key Responsibilities : Functions as an Instrument Processing Technician under the direction of the Clinical Leader / Registered Nurse.
Cleans and / or disinfects instruments and equipment after use and returns it to the proper area, in appropriate sequence, for storage and / or processing.
Differentiates sterilization and disinfection methods required for specific instruments and equipment. Cleans, wraps, sterilizes, and disinfects instruments and equipment and maintains the functions of the instrument processing area / department.
Responsible for crossover duties in other areas such as purchasing supplies and inventory management in proper areas according to facility policy and management guidance.
Qualifications High school graduate or GED required. Understanding of sterilization and high-level disinfection technologies including industry standardized principles and practice in sterilization and disinfection required.
Prior experience in instrument processing preferred. Prior experience as a surgical technologist / procedure technologist preferred.
Successful completion of BCLS Course within 90 days of employment required or documentation of current BCLS certification.
Certification in instrument processing is preferred. USD $20.00 / Hr. USD $23.00 / Hr.
Last updated : 2024-03-02
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