Appeals Supervisor

CorVel
Any Location, TX
Remote
Job Description
The Appeals (Provider Relations) Supervisor is responsible for daily operations within the Provider Relations department, managing staff and prioritizing work assignments to ensure timely and accurate processing of internal and external requests and appeal submissions.

Requirements

  • Manage team performance
  • Assist leadership in obtaining complex information from various financial, clinical and operational systems and data sources
  • Ability to assist with pricing of claims according to provider contracts
  • Ability to assist team with problem solving regarding customer complaints, or inquiries, including bill review disputes verbally and in written communication
  • Identifies, quantifies and monitors account detail or workflow processes for barriers
  • Participates in the panel interviews, prepares new hire documentation, facilitates associate orientation, and participates in the termination process
  • Responsible for ensuring new employees are oriented to the organization, its policies, facilities etc
  • Supervisors should also provide ongoing guidance to employees, often in the forms of ongoing career coaching, counseling and performance appraisal
  • Independently leads initiatives as assigned by management, coordinating task teams or other forums to deliver results as identified and/or determined by leadership
  • Handles escalated requests from clients and/or executive leadership
  • Ensure strict confidentiality of all medical records, PHI, and PII

Benefits

  • Medical (HDHP) w/Pharmacy
  • Dental
  • Vision
  • Long Term Disability
  • Health Savings Account
  • Flexible Spending Account Options
  • Life Insurance
  • Accident Insurance
  • Critical Illness Insurance
  • Pre-paid Legal Insurance
  • Parking and Transit FSA accounts
  • 401K
  • ROTH 401K
  • Paid Time Off
]]>