Bcbsla
Supervisor, Provider Disputes
Corporate - Baton Rouge, LA · Contract
Sponsorship not specifiedDetected 12 days ago
ExcelPerformance ManagementHRISCustomer SupportEpicICD-10LeadershipCommunicationMentoringPublic SpeakingMicrosoft OfficeClaims Management
About the role
- We invite you to apply for a career with us.
- POSITION PURPOSE Oversees the daily operations of the unit for assigned staff in the unit.
- Serves as a leader and back-up for assigned staff in the unit.
Requirements
- In order to effectively fulfill this position, this position must be in contact with:
- High School Diploma or equivalent required
- 5 years of insurance experience to include experience in disputes, appeals and grievances, adjustments and customer service and one year of demonstrated leadership experience.
- Experience can run concurrently required
- Must demonstrate the ability to work in a rapidly paced and ever-changing environment.
- Education
- Work Experience
- 5 years of insurance experience to include experience in disputes, appeals and grievances, adjustments and customer service and one year of demonstrated leadership experience. Experience can run concurrently required
- Skills and Abilities
- Requires attention to detail and excellent record-keeping skills. Must demonstrate the ability to work in a rapidly paced and ever-changing environment.
Nice to have
- Bachelor's degree in a related field preferred
- 2 years of leadership experience preferred.
- Demonstrated knowledge of accreditation guidelines, state laws, and relevant PC software which includes Facets, Epic, MS Word, Query Tools, Excel and Outlook is preferred
Skills
- Must be able to read and interpret benefits for all lines of business.
- Must be able to read and interpret all provider contracts and manuals.
- Must be knowledgeable and able to provide technical guidance on claims processing and complex appeals functions and cases.
- Able to make decisions, prioritize, find solutions and work independently.
- Strong analytical and organizational ability and verbal and written communication skills are required.
- Must have excellent time-management and interpersonal skills to respond to numerous inquiries in a diplomatic and timely manner.
- Presentation and public speaking skills are required.
- None Required
- Identifies and reports weekly trends in production, inventory levels, and performance statistics.
This listing is sourced directly from Bcbsla's careers page and normalized into a canonical job model.