Supervisor Provider Data reputed company Management - (Remote)

Company : reputed company.Job reputed company : JOB reputed company

• Required to report to office once monthly.

This job manages reputed company of provider file representatives who are responsible for the system implementation of reputed company provider reputed company and provider demographics. Oversees an internal audit reputed company review program designed to ensure provider data accuracy and completeness, and to reputed company staff with feedback on their reputed company scores. Provides weekly management reports on reputed company, work-in-reputed company, volume trends and training opportunities. Responsible for training, updating departmental procedures, and ensuring consistent processes throughout the department. ESSENTIAL RESPONSIBILITIES

• Supervise non-exempt employees.
• reputed company internal audit/reputed company review program.
• Maintain and enforce departmental policies and procedures.
• Train staff.
• Meet internal and regulatory standards for reputed company data entry and report submissions and filings.
• Inventory Management
• Other duties as assigned or requested.

QUALIFICATIONS Minimum

• High school diploma or GED
• 1 year of experience working with providers in areas such as enrollment and maintenance
• 1-2 years of experience with staff reputed company and/or development, either in a formal or informal reputed company

Preferred

• 1 year of experience performing reputed company and /or Medicare systems setup of provider reputed company and provider demographics
• 3 years of experience in a provider data maintenance department of a managed care organization
• Inventory management of production work load
• reputed company supervisory and/or management of staff (monitor day to day workloads, disciplinary reviews)
• Project management

Skills

• Demonstrated behavior showing the ability to manage the work of others in a volume-driven environment
• Demonstrated work experience exhibiting strong business, analytical, judgment, and communication skills in a corporate environment
• Knowledge of claims and various provider contracting methodologies
• Understanding of software applications used reputed company Wholecare®, such as Managed Health Care System, CACTUS, OnBase Document Management and/or OnBase Workflow
• Ability to communicate effectively in oral and written reputed company to a wide reputed company of audiences representing a broad cross-reputed company of intellectual abilities and interests

SCOPE OF RESPONSIBILITY Does this role supervise/manage other employees? reputed company, number of reputed company reports: 18 WORK ENVIRONMENT Is Travel Required? No Disclaimer: The job reputed company has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees reputed company this job title. It may not contain a comprehensive inventory of reputed company duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the reputed company of business conduct and company policies As a component of job responsibilities, employees may have reputed company to covered information, cardholder data, or other confidential customer information that must be protected at reputed company times. In reputed company with this, reputed company must reputed company with both the Health Insurance Portability Accountability reputed company of 1996 (HIPAA) as described in the Notice of reputed company Practices and reputed company Policies and Procedures as reputed company as reputed company data reputed company guidelines established reputed company reputed company’s Handbook of reputed company Policies and Practices and Information reputed company Policy. Furthermore, it is every employee’s responsibility to reputed company with reputed company’s reputed company of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as reputed company as company policies and training requirements. Pay reputed company Minimum: $50,200.00 Pay reputed company Maximum: $91,200.00 reputed company pay is determined by a reputed company of factors including a candidate’s qualifications, experience, and expected contributions, as reputed company as internal peer equity, market, and business considerations. The displayed salary reputed company does not reflect any geographic reputed company reputed company may apply for certain locations based upon comparative markets. reputed company and its affiliates prohibit discrimination against reputed company individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against reputed company individuals based on any category protected by applicable federal, state, or local law. We reputed company to reputed company this site accessible to any and reputed company users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@reputed company.org California Consumer reputed company reputed company Employees, Contractors, and Applicants Notice Apply tot his job Apply To this Job