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Supervisor, Denials/Appeals in Los Angeles, CA at TeamHealth

Date Posted: 8/24/2021

Job Snapshot

  • Employee Type:
    Full-Time
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    8/24/2021

Job Description

JOB DESCRIPTION OVERVIEW:

The Supervisor is responsible for overall management of the department. The Supervisor oversees the workflow, and daily activities to ensure the department meets quality and production standards and budget specifications.  The Supervisor is also responsible for staffing, disciplinary action, training, and enforcing adherence to established policies and procedures.  The Supervisor is accountable for quality assurance of all functions in the department.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Plans, organizes, directs, and monitors the assigned area(s).
  • Actively participates in the training/retraining of employees, especially working with new hires in the initial onboarding process.
  • Scheduling the work hours of employees and maintaining accurate timekeeping records.
  • Assigning workflow and/or job duties to ensure effective, timely completion of departmental goals.
  • Maintaining accurate production and quality records.
  • Handling complaints and grievances made by employees with the assistance of Human Resources and Manager/Director.
  • Controlling inventory, supplies, and materials necessary for the function of the department.
  • Assuring compliance with applicable laws and regulations.
  • Defines and implements a program for quality assurance for assigned areas.
  • Monitors key performance indicators and metrics for the department providing corrective action as indicated.
  • Actively participates in the leadership of the department and motivating staff.
  • Completes employee performance appraisals and administers disciplinary action where appropriate.
  • Maintains accurate records of disciplinary actions, developmental conversations, and employee training sessions for their area.
  • Manages staff and procedures ensuring systems operate efficiently and maintains effective personnel relations.
  • Evaluates and refines systems to provide the most efficient, cost effective, and workable flow of reimbursement and accounts receivable management practices.
  • Strives to improve internal relationships between internal departments.
  • Develops long-range and short-range goals and objectives.
  • Prepares and monitors annual budgets.
  • Proactively keeps the Manager/Director/Vice President updated on the status of workload and any potential problems that may arise.
  • Performs any and all of the duties assigned by the Manager/Director/Vice President.
  • Assists in special projects as requested by the Manager/Director/Vice President.
  • Develops and maintains policies and procedures.
  • Assuring the safety of employees.

 

Job Requirements

SUPERVISORY RESPONSIBILITIES:

  • The Supervisor is responsible for overall, day to day management of the department.

PHYSICAL / ENVIRONMENTAL DEMANDS:

Set in a pleasant, high-volume, fast-paced office environment.  Ability to meet closing deadlines, and production standards is required.  Involves extensive computer use, and constant sitting.

Overtime may be required and can be mandated by Management.

This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.

DISCLAIMER:

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.