Health Management Systems, Inc. Subrogation Call Center Supervisor in Irving, Texas

HMS makes the healthcare system work better for everyone. We fight fraud, waste, and abuse so people have access to healthcare—now and in the future. Using innovative technology and powerful data analytics, we help government and commercial payers reduce costs, increase quality, and achieve regulatory compliance. We also help consumers take a more active role in their own health. Each year, we save our clients billions of dollars while helping people live healthier lives. At HMS, you will develop new skills and build your career in a dynamic industry while making a difference in the lives of others.

We are seeking a talented individual for a Operations Supervisor who is responsible for supervising an operations team, playing an integral role in the production, creation, and delivery of health care products or services to internal and external clients.

Essential Responsibilities:

  • Supervises all activities associated with a limited agenda of an operating department’s day-to-day production regimen.

  • Supervises assigned staff including responsibility for recruiting and performance management.

  • Ensures adherence to departmental budget by managing resources and over time while staying in budget.

  • Provides training, coaching, and mentoring to staff as appropriate.

  • Acts as an escalation point for teams, supporting all customers to ensure a high level of customer satisfaction.

  • Manages operational workflows; meet internal and external SLA’s (Service Level Agreements).

  • Provides reports and updates to management as assigned or requested.

  • Supports and administers various departmental and corporate policies consistent with the company’s core values and philosophies.

  • Ensures all processes meet HIPAA and Government security requirements with regards to sharing/storage/PHI (Personal Health Information).

  • Develops and maintains work procedures, schedules and workflow.

  • Recommends process improvements.

  • Organizes and leads team meetings.

Non-Essential Responsibilities:

  • Performs other functions as assigned

Knowledge, Skills and Abilities:

  • Ability to operate with strong personnel management skills to motivate staff and take corrective actions when necessary.

  • Ability to perform well in team environment, with staff at all levels, to achieve business goals.

  • Ability to handle pressure and with deadline oriented project demands as well as manage multiple initiatives.

  • Ability to troubleshoot existing applications.

  • Ability to perform calculations, problem solve and use reasoning.

  • Ability to apply existing knowledge of health care marketplace including commercial and government insurance health plan organizations and HIPAA guidelines with their associated security requirements.

  • Ability to work proficiently with Microsoft Word, Excel, Power Point and Access.

  • Ability to work independently to meet predefined production and quality standards

  • Ability to be flexible and adaptable.

  • Ability to build relationships both internally and externally.

Work Conditions and Physical Demands:

  • Primarily sedentary work in a general office environment

  • Ability to communicate and exchange information

  • Ability to comprehend and interpret documents and data

  • Requires occasional standing, walking, lifting, and moving objects (up to 10 lbs.)

  • Requires manual dexterity to use computer, telephone and peripherals

  • May be required to work extended hours for special business needs

  • May be required to travel at least 10% of time based on business needs

Certifications: (Required/Desired)

  • Health care related certifications preferred, technical certifications preferred

Minimum Education:

  • High School Diploma or GED required.

  • Bachelor’s degree preferred

Minimum Related Work Experience:

  • 2 yrs HMS experience that includes 1 yr experience with proven leadership skills (i.e. Team Lead or similar position) and 2 years additional professional work experience.

OR

  • 4 years professional experience, including 1 year experience in a proven leadership role (i.e. held Team Lead or similar position), in the following areas as required for the specific assignment:

  • medical billing, medical records, pharmacy claims, health care or insurance call center, third party collections, and/or hospital settings.

  • Ability to interpret an Explanation of Benefits (EOB) is required.

  • Ability to interpret an UB-40 is a plus.

Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Title: Subrogation Call Center Supervisor

Location: Texas-Irving

Requisition ID: 180010ZA

EEO/Minorities/Females/Protected Veterans/Disabled.