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Claims Supervisor

Rogers Memorial Hospital, Inc.

The Claims Supervisor oversees billing and claims activities at Rogers Behavioral Health, managing staff workflow and quality. This hybrid role requires presence in Southeastern Wisconsin with occasional travel to Oconomowoc.

Responsibilities include supervising billing and claims specialists, ensuring compliance with insurance policies and regulations, resolving claim discrepancies, managing insurance follow-up workflows, coaching staff on communication with payers, monitoring claim rejection trends, assisting with denial resolution, maintaining knowledge of industry regulations, setting staff goals, coordinating policy development, training, collaborating with leadership across departments, and managing recruiting and performance appraisal.

Schedule is Monday-Friday 8am-4:30pm with slight start time flexibility.

Requirements include a high school diploma or equivalent, associate's degree or equivalent experience in management or healthcare, 3+ years billing and collections experience, 1-2 years supervisory experience, knowledge of ICD-10, CPT, HCPCS coding, medical terminology, payer guidelines, reimbursement and collections practices, analytical skills for data trend interpretation, proficiency in Microsoft Office and Oracle Health Patient Accounting systems, excellent interpersonal and organizational skills, and the ability to work independently in a fast-paced environment.

Benefits include health, dental, and vision insurance; 401(k); employee share program; life/disability insurance; flexible spending accounts; tuition reimbursement; health and wellness programs; and employee assistance programs.

Requirements & Qualifications
  • High school diploma or equivalent required
  • Associate’s degree in management, healthcare, or related field; experience may substitute for degree
  • Minimum 3 years relevant billing and collections experience
  • 1-2 years supervisory experience or increasing responsibilities
  • Knowledge of claims review and analysis, ICD-10, CPT, HCPCS coding, and medical terminology
  • Superior knowledge of payer guidelines, reimbursement, follow-up, collections, and experience with third-party governmental payers
  • Ability to analyze data trends and implement improvement initiatives
  • Supervisory and team coordination skills
  • Collaboration skills with leaders from other departments
  • Strong interpersonal, organizational, problem-solving, and customer service skills
  • Proficient with Microsoft Word, Excel, Outlook, Teams, OneNote, and Oracle Health Patient Accounting systems
  • Self-starter with ability to work independently
  • Ability to work in a fast-paced, detail-oriented environment with deadlines
Benefits & Perks
  • Health, dental, and vision insurance coverage
  • 401(k) retirement plan
  • Employee share program
  • Life/disability insurance
  • Flexible spending accounts
  • Tuition reimbursement
  • Health and wellness program
  • Employee assistance program (EAP)

Location

Wisconsin, US

Employment Type

Full-time

Experience Level

Manager

Remote work allowed

No

Posted

2 weeks ago

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