Behavioral Health; BH Claims Supervisor

Overview

Behavioral Health (BH) Claims Supervisor

Job : TE0030
Category: Claims
Department: CLAIMS
Location: 50 Water Street, 7th Floor, New York, NY 10004
Job Type: Regular
Employment Type: Full-Time
Work Arrangement: Hybrid
Salary Range: $65,000.00 - $76,011.00

• Oversee the day-to-day workload of the BH Claims Unit, including assignment of tasks.
• Identify issues and problems with claims submissions.
• Identify system processing issues.
• Process complex, difficult, and non-routine claims for multiple lines of business.
• Ensure that training manuals are current and that policies and procedures are followed correctly.
• Plan, develop, and conduct training programs for staff.
• Provide input to the ASP Manager related to the development and performance of employees.
• Participate in special projects as required.
• Represent the BH Claims Unit in the absence of the ASP Manager.

• Bachelor’s Degree required.
• Minimum of two (2) years' experience in HMO claims processing; or a satisfactory equivalent combination of education, training, and experience.
• Well versed in all the duties and responsibilities of the Claims Examiner position, including data entry and system adjudication of BH claims.
• Knowledge of Medicaid policies, as well as enrollment policies procedures.

• Integrity and Trust
• Customer Focus
• Functional/Technical skills
• Excellent verbal and written skills
• Must be able to work in a professional manner with employees, management, and providers