Audit Support Operations Supervisor
 MultiPlan | |
parental leave, paid time off, sick time, tuition reimbursement, 401(k)
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 United States | |
 May 08, 2025 | |
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At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!! JOB SUMMARY:
This role oversees the day to day activities of his/her assigned team for the purpose of delivering exceptional client support while meeting budget and compliance constraints. The incumbent manages the timely and complete processing of incoming channels of client communications and referrals, required client reporting, and other duties in order optimize the facilitation of the recovery of claim payments from first and third party sources. In addition to managing the account specialists, this position also assists management in implementing new processes, documentation of change control, process documentation, and other administrative tasks needed to execute strategic planning and forward thinking to move the organization to the next level.
The salary range for this position is $62K- $70K 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. JOB ROLES AND RESPONSIBILITIES:
1. Leads and performs the daily activities of the assigned functional team members; triage of client communications, case set up, and responding to client questions. Prioritizes work of self and others and makes case assignments when needed
2. Develops, monitors and communicates team goals. Conducts team meetings and participates in ad hoc meetings 3. Develops and implements effective ways to manage communication channels to ensure that all is worked timely and accurately. Manages operational workflows and meets internal and external Service Level Agreements (SLA). Identifies, recommends and develops process improvements 4. Provides reports and updates to management as scheduled or requested 5. Ensures all processes meet HIPAA and all client security requirements with regards to sharing/storage/PHI 6. Compiles, analyzes and makes conclusions from multiple sources to make effective decisions on client, team and business needs 7. Interacts professionally with attorneys, insurance adjusters, medical providers, court staff, recipients and family members and client 8. Coaches employees and provides encouragement to promote success. Serves as an escalation point when needed. 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 minimal supervision in the execution of the role's day-to-day responsibilities. The incumbent's decisions within the role will have the potential to have both a departmental and organizationally spanning influence. The incumbent may have regular interactions with employees and leaders in own department, decision makers for clients, clients, and other functions within the company. This is a people management job with authority for all HR actions (hiring, firing, discipline, training, etc.)
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:
EEO STATEMENT Claritev 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 would like more information on your EEO rights under the law, please click here. APPLICATION DEADLINE We will generally accept applications for at least 15 calendar days from the posting date or as long as the job remains posted. #LI-SW-1 | |