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)
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:
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.
0 Claims Processing Supervisor jobs found in Miami, FL area