Job details
Job type full-time
Full job description
The healthcare commercial msp operations supervisor oversees and supports daily business operations for performant’s commercial medicare secondary payer (msp)-related solutions (*does not include cms crc msp)
Essential duties
Monitoring staff and daily production efforts
Effectively collaborates with management and teams to ensure departmental needs are met.
Communicates with team to ensure all production goals are clear
Provides insight and collaborates to ensure appropriate staffing levels and staff competencies for assigned business
Supervises msp operations staff and contributes to development/enhancement of operational infrastructure.
Ensure team(s) consistently achieve operational metrics and goals, quality, and compliance requirements.
Supports the organization in meetings with the clients and other msp business constituents as needed.
Uses excellent communication skills to influence a wide range of internal and external audiences.
Leads by example and adheres to all company policies and procedures in performance of job duties and all interactions.
Assists in development and revision of team training materials.
Assist in operational training for staff to support operational quality and compliance, and optimal service delivery to clients.
Advises leadership of operational training gaps, staff development issues and other observation and areas or opportunities that may involve training
Performs other duties as assigned.
Notes:
All employees and contractors for performant financial may and/or will have access to sensitive, proprietary, confidential and/or public dataAs such, all employees and contractors will have ownership and responsibility to report any violations to the confidentiality and integrity of sensitive, proprietary, confidential and/or public data at all timesViolations to performant’s policy related to the confidentiality or integrity of data may be subject to disciplinary actions up to and including termination.
Required skills and knowledge:
Working knowledge of medicare other health insurance (ohi), coordination of benefits (cob), and/or third-party liability (tpl) business models and products.
Working knowledge of applying coordination of benefits (cob) rules
Working knowledge of requirements gathering, etl processing, data matching, and databasing.
Demonstrated ability to meet production targets.
Proven experience in leading and overseeing high performing dynamic teams
Excellent professional written and verbal communication skills.
Understands and adheres to hipaa standards and regulations.
Strong critical thinking, analytical and problem-solving skills.
Self-motivated and thrives in a fast-paced business performing multiple tasks cohesively, with keen attention to detail.
Ability to adapt quickly and transition effectively to changing circumstances, client requirements, assignments, and business needs; and consistently performs job responsibilities.
Completion of teleworker agreement upon hire, and adherence to the agreement (and related policies and procedures) including, but not limited to: able to navigate computer and phone systems as a user to work remote independently using on-line resources, must have high-speed internet connectivity, appropriate workspace able to be compliant with hipaa, safety & ergonomics, confidentiality, and dedicated work focus without distractions during work hours.
Physical requirements:
**note: must be able to meet requirements for and perform work assignments in accordance with company policies and expectations on a home remote basis (and must meet performant remote-worker requirements) until at which time staff will be notified and required to work from a performant office locationBasic office equipment required to perform remote work is provided by the company.
Performs duties in a busy standard office environment with moderate noise level(or home-based telework environment in accordance with company policies and procedures).
Sits or stands at a desk, reaching as needed to use office equipment.
Makes and returns calls using an office phone system or company issued cellular phone.
Views a computer monitor, types on a keyboard, and uses a mouse.
Reads and comprehends information in electronic (computer) or paper form (written/printed).
Types frequently, but not constantly, using a keyboard and mouse.
Occasionally lifts/carries/pushes/pulls up to 10 pounds.
Travel as required to meet business needs.
Education and experience:
High school diploma or ged required
Bachelor’s degree in relevant field or equivalent combination of education and experience.
3+ years relevant experience to the position working with msp, ohi, and/or cob data and processes.
2+ years supervisory experience in fast paced production or call center environment.
Extensive experience with eligibility verification and applying cob rules
Other requirements
Must submit to and pass pre-hire background check, as well as additional checks throughout employment
Must be able to pass a criminal background check; must not have any felony convictions or specific misdemeanors, nor on state/federal debarment or exclusion lists.
Must submit to and pass drug screen pre-employment (and throughout employment).
Performant is a government contractorCertain client assignments for this position requires submission to and successful outcome of additional background and/or clearances throughout employment with the company.
Visa sponsorship is not available.
Job profile is subject to change at any time.
Eeo
Performant financial corporation is an equal opportunity employer.
Performant financial corporation is committed to creating a diverse environment and is proud to be an equal opportunity employerAll qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law.
No agency submissions without performant authorized agency agreement and approved performant job order
