Supervisor, Coordination of Benefits in Work From Home at MultiPlan

Date Posted: 9/1/2022

Job Snapshot

Job Description



Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions.



Our commitment to diversity, inclusion and belonging are part of the fabric of our company.  We strive to create a workplace that fosters mutual respect and collaboration, where every talented individual can participate and perform their best work.  We are MultiPlan and we are where bright people come to shine!  




JOB SUMMARY:


This role ensures timely, accurate processing of all aspects of the identification, investigation, and validation processes for Coordination of Benefits (COB) and related eligibility products. The position monitors, prioritizes and distributes work to assigned team(s). The incumbent will work to facilitate quality processing of cases according to policy and procedures and client service level agreements (SLA's). This individual will work to identify recoveries for assigned clients that meet or exceed forecasts and partnering with senior leadership to execute on short and long term production strategies.


JOB ROLES AND RESPONSIBILITIES:


1. Schedules and prioritizes work, approve time off, conducts performance reviews, hires, and trains new employees, and performs other supervisory responsibilities and enforces production, quality, and customer-service standards / SLAs. Addresses issues with the team as a whole and individually.
2. Primary point of contact for offshore contractors, including but not limited to the following: hiring for correct skillset, work assignment, approving hours, coordinating training, mitigating vendor specific issues, and working with vendor management to drive acceptable results.
3. Partners with senior leadership to draft, develop, and implement policies, procedures, and strategies to improve department metrics and relevant KPIs.
4. Routinely utilizes expertise specific to coordination of benefits rules, regulations, methodologies, and audit tactics to ensure efficient day-to-day operation of the department.
5. Ensures compliance with CMS, NAIC and state COB guidelines. Ensures team is following company and client expectations.
6. Works closely with senior leadership to document policies, procedures, and processes. Maintains and improves COB/OHI processes by monitoring trends and addressing issues for process improvement.
7. Must maintain a high level of confidentiality in dealing with protected health information and ensure that teams do the same.
8. Fields client issues and complaints and decides on a course of action to resolve the matters.
9. Select, develop, and evaluate staff to ensure the efficient operation of department.
10. Collaborate, coordinate, and communicate across disciplines and departments.
11. Ensure compliance with HIPAA regulations and requirements.
12. Demonstrate Company's Core Competencies and values held within.
13. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.
14. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.


JOB SCOPE:


This role works under limited supervision in the execution of the positions day-to-day responsibilities. This role will be a key contact in the drafting, implementation and maintenance of policies and procedures specific to the department. The incumbent will have a sizeable amount of influence on departmental revenue figures through the provision of effective mentorship of more junior team members. This is a people management job with authority for all HR actions (hiring, firing, discipline, training, etc.) as well as assign work and coordinate the work of offshore resources.

Job Requirements

JOB REQUIREMENTS (Education, Experience, and Training):


* Minimum high school diploma plus five (5) years experience in healthcare/insurance operations, coordination of benefits, or claims processing environment; two (2) years' of which should be inclusive of supervisory or other leadership experience.
* History of demonstrated client focus and ability to achieve results.
* Required licensures, professional certifications, and/or Board certifications as applicable.
* Clinical jobs require post-graduate experience in direct patient care, board certification for MD/DO (Medical Doctor/Doctor of Osteopathic Medicine), and an unrestricted clinical license.
* Good organizational, analytical and independent decision making skills.
* Strong problem solving skills with the ability to manage multiple priorities and meet associated timelines. 
* Proficient with MS Office products including Microsoft Excel.
* Specifications should support the essential functions identified in the job, assuring compliance with the Americans with Disabilities Act (ADA) and other such employment-related acts (i.e., ability to stand for long periods of time, ability to interact with customers or visitors, ability to lift up to 50 pounds, ability to travel).
* Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone.



BENEFITS


 


We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.



Your benefits will include:




  • Medical, dental, and vision coverage (low copay & deductible)

  • Life insurance

  • Short- and long-term disability

  • 401(k) + match

  • Generous Paid Time Off

  • Paid company holidays

  • Tuition reimbursement

  • Flexible Spending Account

  • Employee Assistance Program

  • Summer Hours


 


[FOR POSITIONS THAT CAN WORK FROM HOME]


**Pursuant to Colorado’s “Equal Pay for Equal Work Act”, the following salary range is provided solely for applicants living in Colorado. ($60-65K).  If an applicant does not live in Colorado, this salary range may not apply.  Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity.  This position is also eligible for health insurance, 401k and bonus opportunity.


 


EEO STATEMENT


MultiPlan is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you’d like more information on your EEO rights under the law, please 

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