Supervisor, OSM

This is a fully remote position, open to applicants in Tennessee.

📋 Description

• Oversee the daily operations of assigned Revenue Services teams.

• Act as the main point of escalation for issues related to claims resolution and client challenges.

• Guide Account Managers and Revenue Specialists in addressing claims and client concerns.

• Collaborate with Managers to establish priorities for daily team activities.

• Prepare performance assessments and account evaluations alongside the Department Leader.

• Analyze and assess claim payments utilizing proprietary software, systems, and tools.

• Confirm provider reimbursements in accordance with relevant state workers’ compensation fee schedules and PPO contracts.

• Research and gather medical records, implant manufacturer invoices, and supporting documents for claims reimbursement.

• Facilitate internal communication and messaging for external client inquiries and issues.

• Develop, review, and maintain client-facing reports.

• Lead internal and external meetings focused on process improvement and issue resolution.

• Address external client inquiries regarding remote system access, document requests, payment inquiries, and end-user training.

• Conduct follow-up calls with insurance companies to ensure accurate reimbursements.

• Prepare initial billing packets and appeal letters.

• Collaborate with Data Analytics, Data Quality, and Document Management teams.

• Train and mentor staff, including onboarding new hires.

• Execute quality control tasks for account flow and due diligence.

• Manage challenging client accounts.

• Engage in hiring, training, performance management, and corrective action throughout the employee lifecycle.

• Handle protected health information while ensuring confidentiality and security.

• Support operational initiatives through team collaboration.

• Perform other related duties as assigned.

⛳️ Requirements

• High School Diploma or GED is a requirement.

• Minimum of 5 years of experience in the healthcare sector, specifically in billing or collections.

• At least 5 years of experience in client-facing/customer service roles.

• 1-2 years of experience in a supervisory or team lead capacity.

• Preferred 3-5 years of experience in workers' compensation billing and collections.

• Intermediate understanding of insurance payer/provider claims processing and the associated data requirements.

• Proficiency in computer applications and basic office software, including MS Office (Word, Excel, and Outlook).

• Equivalent combinations of education and experience will be considered.

• Regular and dependable attendance is essential.

• Exceptional interpersonal skills and a friendly demeanor.

• A service-oriented mindset with a strong sense of urgency and ability to mentor team members.

• Capability to work independently without direct supervision.

• Strong written and verbal communication skills.

• Excellent analytical and problem-solving abilities.

• Capacity to manage stress and collaborate effectively at all organizational levels.

• Proven experience in working with external clients, demonstrating strong customer service skills and business acumen.

• Ability to prioritize and juggle multiple competing priorities and projects simultaneously.

• Ability to sit for extended periods.

🏝️ Benefits

• Full-time employment.

• Opportunities for professional growth and development.

• Access to tools, resources, and support for career advancement.

• A flexible, family-oriented workplace.

• Support for work-life balance.

• Recognized as a top employer by Workplaces.