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
1 In compliance with Standard Operating Procedures (SOPs), responsible for collecting plasma samples and moving plasma units to freezer to ensure product quality.
2 Ensures plasma units are properly stored according to SOPs, which could include unsuitable plasma units and samples.
3 Ensures accuracy of unit labeling by verifying the pre-printed label matches the dynamic label.
4 Utilizes sterile technique to draw samples and uses heat sealer to assure the sterility and quality of plasma unit samples per SOPs.
5 May ensure samples and units are packed and shipped in accordance with SOPs and center procedures. Prepares shipping and unit disposal documentation.
6 Monitors freezer and refrigerator temperatures and immediately informs appropriate personnel if equipment is not functioning properly. Records variances.
7 Conducts daily calibration of equipment according to SOPs.
8 Ensures the accurate recording of donor data in the electronic donor information management system as outlined in the SOPs.
9 Understands the policies and procedures associated with hyper immune programs at the center if applicable.
10 Maintains clean efficient work environment, and ensures sufficient operating supplies and forms are available as needed.
Follows all Health Safety & Environmental (HSE) and Occupational Safety and Health Administration (OSHA) policies and procedures.
Promotes safety in all actions.
11 Maintains confidentiality of all personnel, donor and center information.
12 May be cross-trained in other areas to meet the needs of the business.
13 Bilingual skills may be required, at the discretion of the organization, to meet the needs of the business.
14 Perform other job-related duties as assigned.
Education
High school diploma or equivalent required
Experience
Working Conditions
physical & mental requirements)
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, disability, veteran status, national origin or other legally protected classifications.
Last updated : 2024-04-23
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