What are important things that YOU need to know about this role?
• 100% remote role offering flexibility and work-life balance.
• Lead and develop a team of 12-15 direct reports, supporting a collaborative, performance-driven culture.
• Operate within daytime hours (8:00–4:30 CST), with shared leadership support for off-shift coverage on a rotating schedule.
• Hands-on leadership role where you can make an immediate impact and grow your career.
What will YOU be doing for us? Responsible for overseeing the Claims Intake department offering supervision and leadership to ensure day-to-day business needs are completed accurately and timely and in accordance with client and regulatory requirements.
What will YOU be working on?
• Act as a subject matter expert for the Claims Intake team; answering questions to internal and external contacts and resolving matters that may fall outside of the established workflows.
• Assist with escalated issues on behalf of Claims Intake staff. Work with internal staff as needed to ensure resolution of escalated issues.
• Assist as a point of contact for system upgrades for the team. Coordinates testing with the team, and other operational departments and reports issues appropriately for resolution.
• Oversee staff timecard and PTO requests to ensure timely and accurate reporting, and adequate coverage to meet client Service Level Agreements.
• Works within Operational budget requirements.
• Manage the daily work plan assignments and monitor work volumes to ensure all submissions and/or special handling requests are completed within client specific timeframes.
• Provide support to the Claims Intake team.
• Maintain and monitor individual/team performance to ensure compliance with department guidelines, standards and established expectations.
• Evaluate employee and team performance to identify training and development needs.
• Collaborate with Manager and Support Specialist to develop, maintain and facilitate all training and materials to ensure staff is appropriately trained to successfully perform their roles.
• Proactively communicate updates and changes to client requirements and reference materials in a timely manner.
• Facilitate quick and accurate issue resolution by developing and maintaining collaborative working relationships with internal departments.
• Proactively identify potential issues and communicate to management. Ability to critically think about how workflow decisions will impact department along with downstream impacts.
• Partner with Manager in implementing process improvements. Work closely with management team in identifying process, tool and efficiency improvements.
• Assist in the development of workflow documentation and policies and procedures.
• Assist in the ongoing evaluation of policies and procedures and assist in development and implementation of new efficiencies based on assessments.
• Participate in internal and external audits and provide thorough documentation and research as needed.
• Work with Manager to identify, develop and implement best practices to ensure improved efficiency, cost effectiveness, and that contractual requirements are met and/or exceeded.
What qualifications do YOU need to have to be GOOD candidate?
• High school diploma or equivalent.
• 2-4 years of prior job-related experience in a leadership role.
• Excellent written and communication skills.
• Excellent customer service skills including active listening and the ability to diffuse difficult situations.
• Ability to use effective judgment and prior experience to troubleshoot common issues.
• Ability to organize work appropriately to meet deadlines.
• Ability to utilize resources to solve problems independently.
• Excellent time management skills and can demonstrate ability to make appropriate decisions when faced with conflicting deadlines or needs.
• Intermediate knowledge of Microsoft Office products (Word, Excel, and PowerPoint).
What qualifications do YOU need to have to be GREAT candidate?
• Associate or bachelor’s degree.
• Experience working in a dental or medical environment.
• Knowledge of Enterprise System.
• Advanced knowledge of Microsoft Office Suite (Word, Excel, PowerPoint).
