Claims Processing Supervisor jobs in Miami, FL

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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Operations Processing Supervisor
  • VIVEX BIOLOGICS INC
  • Miami, FL FULL_TIME
  • Description

      

    Job Purpose

    The Operations Processing Supervisor reports to the Production Manager and supports the cleaning, cutting, inspecting, and packaging of Birth Tissue grafts. The Operations Processing Supervisor is responsible for scheduling their assigned team of technicians to meet the weekly production plan. The supervisor must be able to implement and sustain production metrics directly related to the company’s KPI while making procedural or resource adjustment as necessary. Responsibilities include ensuring technician training is current, supervising daily production activities, collaborating with supporting departments for process improvements and root cause investigations. Candidate has a high sense of urgency and the ability to prioritize accordingly.


    Duties and Responsibilities

    1. Applies problem solving to address non-conformances, corrective actions, and customer complaints as well as technical challenges.

    2. Ensures that Processing Operations comply with State and Federal regulations and AATB standards. 

    3. Oversees daily/weekly operations by collaboration with direct reports while ensuring schedule completion and driving cost reduction efforts.

    4. Ensures that all non-conformances and/or deviations are reported to Quality Assurance and documented appropriately. Track to completion in collaboration with personnel assigned to the investigation. Drive root-cause analysis during this process.

    5. Supports training efforts for the Operations team in collaboration with direct reports.

    6. Driven by a challenging sense of urgency for customer delivery while monitoring expense control, staff management, goods production, and value stream management in order to ensure that Operations run accordingly.

    7. Coordinates with supporting teams during the process of product transfer for execution of testing runs at the Processing stage.

    8. Conducts Mid and End of Year reviews for direct reports. Develop and mentor direct reports by creating and tracking impactful/actionable developmental plans. 

    9. Creates and track performance improvement plans when needed. 

    10. Familiarizes with the Company’s financial targets while aligning direct report’s metrics accordingly.

    11. Uses judgment to identify, troubleshoot and resolve day-to-day technical operations issues.

    12. Collaborates with supporting departments for the Sterile Processing and Environmental Cleaning daily operations.

    13. Contributes to the completion of process improvement opportunities that have significant scope and impact to the organization.

    14. Resourceful in completing assigned deadlines and can multitask effectively.

    15. Perform other duties as assigned.

    Requirements

      

    Qualifications

    Bachelor’s degree in science or related with a minimum of 2 years of relevant management experience or master’s degree with a minimum of 1 year of relevant experience. Tissue Banking experience Preferred. Must obtain and maintain AATB certification within 2 years of employment. 

    Strong analytical, planning critical thinking, and troubleshooting skills. Ability to effectively communicate with multidisciplinary teams.

    Qualifications include:

    • Computer Processing.
    • Project Management.
    • Lean Behaviors.
    • Problem Solving.
    • Strong Interpersonal skills.
    • Good documentation skills.
    • Written, Verbal and strong communication skills.
    • Attention to detail.
    • Strong organizational skills.

    Working Conditions

    The majority of the work is performed indoors. However, some work will be performed in a clean-room environment. Must be willing to work weekends and evening hours as necessary. Must be willing to accommodate travel if necessary.


    Physical Requirements

    The ability to stand for extended periods of time. Occasional lifting/pushing heavy objects up to 30 pounds.


    Direct Reports

    Birth Tissue - Processing Team Lead and Operations Processing Technicians I, II, and Master.

    Nothing in this job description restricts management’s right to assign or reassign duties and 

    responsibilities to this job any time. 

    VIVEX Biologics, Inc. is an equal opportunity employer (EEO) and expressly prohibits any form of workplace discrimination and/or harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

    VIVEX Biologics, Inc. complies with the Americans with Disability Act (ADA) which prohibits discrimination against qualified individuals with disabilities who, with or without reasonable accommodation, can perform the essential functions of a job. 

  • 24 Days Ago

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Bi-lingual Spanish Patient Support Medical/Biller Claims Processing Representative (Home-Based)
  • IQVIA INC (US10)
  • Miami, FL FULL_TIME
  • Bi-lingual Spanish Patient Support Medical Claims Processing ​ RepresentativeContract Remote Role – Location (Open to Remote US)As the only global provider of commercial solutions, IQVIA understands w...
  • 5 Days Ago

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Property Damage Advisor
  • Adjust Up Claims
  • Miami, FL CONTRACTOR
  • SEARCHING FOR OUR NEXT PROPERTY DAMAGE ADVISOROverachievers Only $50k-$300kAverage can earn $50kHigh Producers will earn $250k Location: Miami, FL. Opportunity to Work RemotelyWork Type: Part/Full Tim...
  • 21 Days Ago

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Door to Door Sales Advisor
  • Adjust Up Claims
  • Doral, FL CONTRACTOR
  • SEARCHING FOR OUR NEXT DOOR TO DOOR SALES ADVISOR Overachievers Only $50k-$300kAverage can earn $50kHigh Producers will earn $250k Location: FloridaWork Type: Part/Full Time Independent ContractorComp...
  • 21 Days Ago

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Billing/Data Entry Clerk
  • Claims and Risk Management Services
  • Miami, FL FULL_TIME
  • Data entry operator responsibilities include collecting and entering data in databases and maintaining accurate records of valuable company information. Our ideal candidate has essential data entry sk...
  • 1 Month Ago

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Test Administrator
  • U.S. Military Entrance Processing Command
  • Doral, FL OTHER
  • About the Position: Administers written or computer based Armed Services Vocational Aptitude Battery (ASVAB) Enlistment Tests at Military Entrance Processing Station (MEPS) or other remote testing sit...
  • 27 Days Ago

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0 Claims Processing Supervisor jobs found in Miami, FL area

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Senior Manager, Architecture and Design
  • Royal Caribbean Group
  • Miami, FL
  • Journey with us! Combine your career goals and sense of adventure by joining our exciting team of employees. Royal Carib...
  • 4/25/2024 12:00:00 AM

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Project Management Officer - H/F
  • Expleo Group
  • Miami, FL
  • En savoir plus: Soyez vous-mme. Devenez qui vous voulez. Acteur mondial de lingnierie, de la technologie et du conseil, ...
  • 4/25/2024 12:00:00 AM

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Program Coordinator
  • Overtown Youth Center
  • Miami, FL
  • Classification: Exempt Location: Overtown (Miami) Status: Full-time Salary Range $40K -$48K Department: Operations Benef...
  • 4/24/2024 12:00:00 AM

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Project Manager
  • Nicklaus Children's Hospital
  • Miami, FL
  • Description Job Summary Leads projects which are complex, multi-disciplinary, and/or enterprise-wide as directed by seni...
  • 4/24/2024 12:00:00 AM

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Manager Research Development (Full Time, Day shift, Remote Option)
  • Nicklaus Children's Hospital
  • Miami, FL
  • Description Job Summary Responsible for research study and project management to support internal trial and grant manage...
  • 4/24/2024 12:00:00 AM

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Program Coordinator
  • Catholic Charities
  • Miami, FL
  • Duties and Responsibilities: Case Management: Provides case management including rental and mortgage assistance, utility...
  • 4/24/2024 12:00:00 AM

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RN Project ADAM Program Coordinator (Per Diem/Pool, Flex shift)
  • Nicklaus Children's Hospital
  • Miami, FL
  • Description Job Summary Project ADAM (Automated Defibrillators in Adam's Memory) is a not-for-profit organization within...
  • 4/23/2024 12:00:00 AM

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Data Entry Processing Coordinator
  • QBMS LLC
  • Miami, FL
  • Job Description Job Description Benefits/Perks Competitive Compensation Paid Time Off Career Growth Opportunities Job Su...
  • 4/21/2024 12:00:00 AM

Miami, officially the City of Miami, is the cultural, economic and financial center of South Florida. Miami is the seat of Miami-Dade County, the most populous county in Florida. The city covers an area of about 56.6 square miles (147 km2), between the Everglades to the west and Biscayne Bay on the east; with a 2017 estimated population of 463,347, Miami is the sixth most densely populated major city in the United States. The Miami metropolitan area is home to 6.1 million people and the seventh-largest metropolitan area in the nation. Miami's metro area is the second-most populous metropolis i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Supervisor jobs
$65,209 to $80,002
Miami, Florida area prices
were up 2.9% 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