Integra Partners

Claims Inquiry Supervisor

Escalations - Remote - Full Time

Integra Partners seeks a results-oriented supervisor, capable of managing and leading a team to success. This individual should be knowledgeable in medical claims – possessing the skills needed to support the team and serve as an SME to the team and organization. This individual must be skilled in process improvement, decision making, communication, and in managing performance metrics. To succeed, this individual will need to be effective in driving results with an expanding team and work productively with both internal and external partners. 

Salary: $55,000/Annually

JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES

The Claims Inquiry Supervisor’s responsibilities include but are not limited to:
 
  • Lead a team of 10+ remote claims inquiry representatives.
  • Handle all aspects of supervising the team including (but not limited to) the following:  (1)Time and attendance policy adherence (2) new hire and ongoing training (3) provide direction on daily routines/tasks (4) maintain accountability to performance expectations and address issues immediately (5) partner with HR to facilitate and deliver any disciplinary action needed (6) facilitate any needed conflict resolution and (7) complete yearly performance reviews.
  • Coach and develop assigned team leader (if applicable)
  • Perform quality control over day-to-day team and individual tasks. Work with QA to identify and address trends.
  • Ensure department protocols and organizational/departmental policies and guidelines are adhered to
  • Ownership of operating metrics tied to claims inquiry inventory.
  • Ensure claims work completed by team follows appropriate and related P&Ps.
  • Participate in cross-functional projects and assignments within Integra to develop processes/procedures that will drive efficiency, reduce cost, and create customer satisfaction.
  • Stay up to date on internal and external claims related processes and ensure the information is shared with the team.
  • Facilitate meetings with direct reports in an open forum to discuss performance results, opportunities for improvement, create action plans, and to promote teamwork and gauge important issues that may impact morale.
  • Contribute to a positive and fun work environment.
What will you learn in the first 6 months?
  • In the first six months you will learn the function of the Escalations department within the organization and be fully integrated in your position, company,  and team
  • You will have a full and complete understanding of our metric requirements and reporting capabilities
  • You will understand your role and responsibilities.
  • You will develop team goals and monitor progress as you build relationships with your team to encourage and understand individual needs and abilities.
What will you achieve in the first 12 months?
  • You will create a people-first approach to your team, easily identifying the strengths and weaknesses of each team member and how to best support them
  • You will personalize your feedback to provide constructive and supportive feedback
  • You will contribute your skills and knowledge to meet your department’s metrics and goals
  • You will conduct weekly huddles and host regular monthly one-on-one meetings with team for mutual feedback and to establish strategies for development/growth
EDUCATION: Bachelor’s degree desired or equivalent experience

EXPERIENCE:
  • 5+ years of relevant experience in a fast paced, healthcare environment
  • 2+ years of leading teams of 5+ people to outstanding results
  • 2+ years claims experience.
  • Outstanding written and verbal communication skills.
  • Strong interpersonal skills
  • Strong analytical and reasoning skills
  • Proficient in MS Office, including Excel, Word, PowerPoint, Outlook, and Teams
  • Strong sense of urgency
  • Able to manage multiple, complex projects with minimal oversight.
  • Ability to work effectively with internal and external clients to increase satisfaction with company and department’s performance.
  • Pro-active, curious, adaptive, focused, able to change and grow
  • Experience in hiring and developing high performing teams

 

Benefits Offered

  • Competitive compensation and annual bonus program
  • 401(k) retirement program with company match
  • Company-paid life insurance
  • Company-paid short term disability coverage (location restrictions may apply)
  • Medical, Vision, and Dental benefits
  • Paid Time Off (PTO)
  • Paid Parental Leave
  • Sick Time
  • Paid company holidays and floating holidays
  • Quarterly company-sponsored events
  • Health and wellness programs
  • Career development opportunities

Remote Opportunities

We are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Vermont, and Washington.

Our Story

Founded in 2005, Integra Partners is a leading network management company specializing in Orthotics, Prosthetics, and Durable Medical Equipment. We are reimagining access to in-home healthcare to improve the quality of life for the communities we serve.

With locations in New York City and Michigan, plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We’re looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you.

Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.

Apply: Claims Inquiry Supervisor
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