drjobs Leader, Claims Support

Leader, Claims Support

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1 Vacancy
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Job Location drjobs

Schenectady, NY - USA

Yearly Salary drjobs

USD 52423 - 70000

Vacancy

1 Vacancy

Job Description

At MVP Health Care were on a mission to create a healthier future for everyone which requires innovative thinking and continuous improvement. To achieve this were looking for a Leader Claims Support to join #TeamMVP. If you have a passion for Operational Excellence problem solving and Team empowerment this is the opportunity for you.

Whats in it for you:

  • Growth opportunities to uplevel your career
  • A people-centric culture embracing and celebrating diverse perspectives backgrounds and experiences within our team
  • Competitive compensation and comprehensive benefits focused on well-being
  • An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York

Qualifications youll bring:

  • Associates degree preferred but equivalent experience may be substituted.
  • Requires at least 3 years of health insurance claims experience. 1 year of supervisory experience or 2 years experience as a team lead/senior. Knowledge of ICD-10 CPT-4 and HCPCS coding preferred.
  • Strong problem-solving and decision-making abilities with the capability to interact effectively at all levels of management and lead cross-functional teams.
  • Strong presentation verbal and written communication skills with excellent follow-up and attention to detail.

Your key responsibilities:

  • Mentor support and build a high-performing team within Claims Operations.
  • Supervise claims processing activities related to adjustments correspondence and encounter data.
  • Track attendance evaluate personnel and address disciplinary actions as needed.
  • Identify opportunities to enhance efficiency and challenge the status quo with innovative solutions.
  • Foster strong relationships with internal and external customers to improve member and provider experiences.
  • Ensure adherence to regulatory requirements and maintain confidentiality in all processes.
  • Proactively address operational issues and prevent escalations.
  • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

Where youll be:

Hybrid- Rochester NY or Schenectady NY

Pay Transparency
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors including but not limited to geographic location; relevant experience education and training; and the nature of and demand for the role.

We do not request current or historical salary information from candidates.

MVPs Inclusion Statement
At MVP Health Care we believe creating healthier communities begins with nurturing a healthy workplace. As an organization we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger and our unique perspectives are catalysts for creativity and collaboration.

MVP is an equal opportunity employer and recruits employs trains compensates and promotes without discrimination based on race color creed national origin citizenship ethnicity ancestry sex gender identity gender expression religion age marital status personal appearance sexual orientation family responsibilities familial status physical or mental disability handicapping condition medical condition pregnancy status predisposing genetic characteristics or information domestic violence victim status political affiliation military or veteran status Vietnam-era or special disabled Veteran or other legally protected classifications.

To support a safe drug-free workplace pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability please contact our Talent team atemailprotected.

Other details

Employment Type

Full-Time

About Company

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