TriWest Healthcare Alliance · 10 hours ago
Supervisor, Claims Admin
United States
Full-time
Remote
Mid, Senior Level
$70K/yr - $74K/yr
4+ years expTriWest Healthcare Alliance is dedicated to serving the healthcare needs of veterans and their families. The Supervisor, Claims Administration will oversee a team handling government claims, ensuring performance expectations are met while collaborating with various stakeholders to resolve issues and improve processes.
Health Care
No H1B
Security Clearance RequiredU.S. Citizen Only
Responsibilities
Assists in the development and implementation of department policies and training
Audits completed work, performs analysis of results, and provides coaching for improvement
Responsible for the daily supervision of staff, including multiple job roles
Manages assigned functional team(s), to include people, workflows, performance, and procedures
Proactively identifies opportunities and collaborates with leaders and subcontractors to drive issue resolution
Coordinates with leadership, direct reports, and project teams regarding process changes
Collaborates cross-functionally with internal business partners on process changes and improvements
Makes recommendations to improve quality and efficiency to enhance service to internal and external stakeholders
Exhibits professionalism in all written and verbal communication
Hires, evaluates, and develops team members
Assesses team performance, initiates corrective action plans, and writes annual reviews
Provides telephonic customer service assistance to Government employees, providers, Veterans, and beneficiaries
Performs other duties as assigned
Regular and reliable attendance is required
Qualification
Required
High School diploma or GED
U.S. Citizenship
Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation
4 years of healthcare claims, billing (or related healthcare area) experience
1 year in a Supervisory role or 2 years in a Team Lead (or equivalent) role
Experience interpreting claims written policy and demonstrated understanding of automated transactions
Demonstrated ability to communicate effectively, both verbally and in writing
Preferred
Associate degree or higher in related field
Government claims experience
Intermediate proficiency with MS Office suite, with an emphasis on Excel
Knowledgeable of claims pricing methodologies
Claims coding certification or equivalent experience
Benefits
Medical, Dental and Vision Coverage
Paid time off
401(k) Retirement Savings Plan (with matching)
Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
Tuition reimbursement
Paid volunteer time
Company
TriWest Healthcare Alliance
TriWest Healthcare Alliance - Serving Those Who Serve. At TriWest, we honor the sacrifice and service of our nations military families by
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2025-01-30Debt Financing
Leadership Team
Mark E. Babbitt
Senior Advisor to President & CEO
Joseph Oddo
Vice President and Chief Information Officer
Recent News
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