Claims Processing Supervisor jobs in Cleveland, OH

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)

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Specimen Processing Supervisor
  • Quest Diagnostics
  • Cleveland, OH FULL_TIME
  • Overview

    Specimen Processing Supervisor - Cleveland, OH - Sunday - Thursday - 12:00pm-8:30pm

     

    Supervise functions within the Specimen Processing department, which may include one or more of the following: Specimen Processing, Test in Question/Problem Resolution, Imaging/Microfilming. Responsible for overseeing the following activities, daily operations of Specimen Processing, all compliance training, training of personnel, monitoring Quality of the department(s), monitor and improve productivity.  Ensure maintenance of a safe, ergonomically sound, professional environment.  Know and understand all functions of the department. 

     

    Pay Range: $46,550 per year

     

    Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.

     

    Benefits Information:

    We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives. Our pay and benefit plans have been designed to promote employee health in all respects – physical, financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include:

     

    • Day 1 Medical/Dental/Vision for FT employees who work 30 hours 
    • 15 PTO days first year
    • Paid Holidays
    • Annual Bonus Opportunity  
    • 401(k) with matching contributions
    • Variable compensation plan (AIP) bonus
    • Employee Stock Purchase Plan (ESPP)
    • Employee Assistance Program (EAP)
    • Blueprint for Wellness
    • Tuition Reimbursement for undergraduate and graduate programs for FT employees who work 30 hours 
    • Opportunities for career advancement  
    • Training provided! 

    Responsibilities

    • Responsible for daily operations of department which may include responsibility for Imaging/Microfilming, Test In Question and some Problem Resolution Client Service functions  
    • Oversees safety, ergonomics, maintenance, and cleanliness of department (including upgrades, repairs, etc.) 
    • Develops and implements Standard Operating Procedures for Specimen Processing in accordance with Quest Diagnostics guidelines 
    • Reviews Specimen Processing Standard Operating Procedure Manual on a biannual basis and ensures departmental compliance. Identifies need for revisions and/or additional SOP’s as indicated 
    • Where applicable, ensures all Federal, State & local licensure requirements are met, working with the QA and Medical Director’s offices 
    • Ensures all documentation is complete and reviewed as required for internal and external inspection/audit 
    • Ensures all employees meet Compliance Guidelines and Competency Testing. Ensures all employees receive adequate training and meet annual competency requirements 
    • Monitors incoming workflow from Logistics and make necessary changes to ensure adequate supply of specimens to technical departments 
    • May supervise packing and shipping of specimens to other laboratories, in accordance with IATA regulations 
    • Ensures integrity of specimens sent to other facilities meet the criteria necessary to provide accurate and timely results 
    • Monitors special handling of Jeopardized Clients, Hospital Clients and Vital Specimens to ensure there are no mishandled specimen(s)/patient requisitions 
    • Demonstrates leadership skills in employee relations, scheduling, new employee onboarding, team meetings, coaching, performance management 
    • Establishes and motivates a participative work environment that actively encourages and supports employee involvement.  
    • Disseminates all essential information in a timely manner, using various forms of communication to all departmental staff. 
    • May track/enter time/attendance of employees  
    • Prepares month-end reports 
    • Investigates/resolves and responds in a timely manner to internal and external customer issues appropriately and effectively 
    • Prepares schedules for department employees, maintains adequate coverage for department 
    • Oversees and ensure adequate supply inventory for the department 
    • Ensures continuous process improvement and/or standardization initiatives are implemented in accordance with established deadlines 
    • Participates in the interview, selection, and hiring of new employees 
    • Responsible for coaching, development, supervision, and succession planning of staff  
    • Monitors ongoing performance of employees; provides corrective action and counseling as required.  Prepares and administers annual performance reviews 
    • Assists in ensuring fiscal responsibilities of the department are met which includes implementation of cost containment programs, management of overtime, participation in standardization initiatives and needs assessment for capital expenditures 
    • Participates on Quest Management System (QMS) and Process Improvement Teams, or other initiatives to meet business objectives 
    • Organizes and lead projects both within the workgroup and with cross-functional groups 
    • Meet all deadlines assigned by the manager 
    • Effectively works with Technical departments to resolve problems. Must have the interpersonal skills to gain cooperation with other departments, and foster continuous improvement 
    • Excellent organization, communication, and interpersonal skills; is able to manage concerns of clients, technical departments, and employees in a professional manner 
    • All other duties as assigned

    Qualifications

    QUALIFICATIONS

    Required Work Experience:  

    Internal candidates require a minimum of two years in a Group Leader/related role 

    Preferred Work Experience:  

    • 5 years experience in a laboratory; Medical or production background preferred 
    • Previous people leadership experience preferred 

    Physical and Mental Requirements:  

    • Works in a biohazard environment, practicing good safety habits 
    • Handles multiple tasks and works in a production environment 
    • Must have the mental alertness and high energy required to appropriately perform job. 

    Knowledge:  

    N/A

    Skills:  

    • PC skills, MS Office applications 
    • Excellent leadership, organization, communication and interpersonal skills, and ability to interact effectively with internal and external customers. 
    • Monitor and provide a safe work environment, prepare incident reports and implement preventative measures 
    • Act in a professional manner at all times. 
    • Must be able to adjust schedule to meet business requirements, which may include extended hours. 
    • Knowledge of systems tools such as COGNOS, Oracle, EMPower, Kronos 

    EDUCATION Associates DegreeLICENSECERTIFICATIONS

     

    While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume.

     

    2024-58903

    EEO

    Quest Diagnostics is an equal employment opportunity employer. Our policy is to recruit, hire and promote qualified individuals without regard to race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other status protected by state or local law. Quest Diagnostics observes minimum age requirements established by federal, state and/or local laws, and will ask an applicant for verification when deemed necessary. 

  • 28 Days Ago

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Supervisor Central Sterile Processing - Nights
  • METROHEALTH MEDICAL CENTER
  • Cleveland, OH FULL_TIME
  • Supervisor Central Sterile Processing - Nights Location: METROHEALTH MEDICAL CENTER Biweekly Hours: 80.00 Shift: 11p-7:30a.m. The MetroHealth System is redefining health care by going beyond medical t...
  • 3 Days Ago

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Supervisor - Central Sterile Processing Supply
  • METROHEALTH MEDICAL CENTER
  • Cleveland, OH FULL_TIME
  • Supervisor - Central Sterile Processing Supply Location: METROHEALTH MEDICAL CENTER Biweekly Hours: 80.00 Shift: 1500-2330 The MetroHealth System is redefining health care by going beyond medical trea...
  • 9 Days Ago

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Supervisor - Central Sterile Processing - Nights
  • METROHEALTH MEDICAL CENTER
  • Cleveland, OH FULL_TIME
  • Supervisor - Central Sterile Processing - Nights Location: METROHEALTH MEDICAL CENTER Biweekly Hours: 80.00 Shift: 11p-7:30a The MetroHealth System is redefining health care by going beyond medical tr...
  • 1 Month Ago

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Field Technician
  • Hancock Claims Consultants
  • Cleveland, OH CONTRACTOR
  • CLIMB to New Heights… And live the_ American Dream. _Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carri...
  • 1 Month Ago

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Mig/Tig Welders
  • Anchor Metal Processing
  • Cleveland, OH FULL_TIME
  • Description SIGN ON BONUS! Apply today and join this world class organization! For over 50 years, Anchor Manufacturing Group has excelled at producing safety related metal assemblies for steering colu...
  • 10 Days Ago

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0 Claims Processing Supervisor jobs found in Cleveland, OH area

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Specimen Processor
  • Clinical Dynamix
  • Cleveland, OH
  • Specimen Processing Supervisor - Cleveland, OH - Sunday - Thursday - 12:00pm-8:30pm (Onsite and Relocation Assistance pr...
  • 4/26/2024 12:00:00 AM

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Assistant Project Manager - Development
  • NRP Group
  • Cleveland, OH
  • Come join NRP's A+ team! We've been recognized as a "Top Workplace" because we promote a culture where our team can buil...
  • 4/25/2024 12:00:00 AM

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Stock Lead - Cleveland Zoo Retail Merchandise
  • ARAMARK Refreshment Services, Inc.
  • Cleveland, OH
  • Job Description Under the direction of the Commissary Manager, the Commissary Supervisor is responsible for the coordina...
  • 4/24/2024 12:00:00 AM

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Sr. Manager, State & Local Tax, Income Franchise
  • RSM Global
  • Cleveland, OH
  • We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence...
  • 4/23/2024 12:00:00 AM

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Assistant Manager Vet Services
  • Case Western Reserve University
  • Cleveland, OH
  • Job Description POSITION OBJECTIVE The Assistant Veterinary Services Manager is a member of the Animal Resource Center (...
  • 4/23/2024 12:00:00 AM

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Stock Lead - Cleveland Zoo Retail Merchandise
  • Aramark Corp.
  • Cleveland, OH
  • Job Description Under the direction of the Commissary Manager, the Commissary Supervisor is responsible for the coordina...
  • 4/22/2024 12:00:00 AM

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Asst Store Manager
  • Salvation Army - ARC
  • Brooklyn, OH
  • Job Description Job Description We are seeking an Asst Store Manager to join our team! You will be responsible for overs...
  • 4/22/2024 12:00:00 AM

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Clinical Operational Excellence Director
  • Medical Mutual
  • Cleveland, OH
  • Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provid...
  • 4/22/2024 12:00:00 AM

Cleveland (/ˈkliːvlənd/ KLEEV-lənd) is a major city in the U.S. state of Ohio, and the county seat of Cuyahoga County. The city proper has a population of 385,525, making it the 51st-largest city in the United States, and the second-largest city in Ohio. Greater Cleveland is ranked as the 32nd-largest metropolitan area in the U.S., with 2,055,612 people in 2016. The city anchors the Cleveland–Akron–Canton Combined Statistical Area, which had a population of 3,515,646 in 2010 and is ranked 15th in the United States. The city is located on the southern shore of Lake Erie, approximately 60 miles ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Supervisor jobs
$66,358 to $81,411
Cleveland, Ohio area prices
were up 1.6% from a year ago

Claims Processing Supervisor in New Bedford, MA
Claims processing supervisor with a bachelors degree and three years related exp is needed for a full-time, temporary opportunity.
February 19, 2020