Medical Claims Supervisor

Full Time
West Sacramento, CA 95605
Posted
Job description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

As a Claims Supervisor at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Gainwell empowers you to help clients deliver better health and human services outcomes using innovative technology and solutions, enabling you to design your career for growth, new possibilities, and refinement of your valuable skills. Here are the details on this position.

Your role in our mission

  • Leads and evaluates a team to ensure exceptional customer service, alignment with business strategy and timely and successful delivery of our services and solutions according to customer expectations, participating in hiring and training of staff, providing coaching and assistance on an ongoing basis, managing performance, and taking corrective action as needed.
  • Educates, communicates, and coaches staff on processes, best practice, goals, and expectations, providing regular and ongoing feedback.
  • Assists manager with day-to-day operations and maintains an understanding of the healthcare provider community.
  • Provides feedback and prepares required reporting to identify trends, establish team goals and expectations, improve processes, ensure resources are properly allocated, and maximize efficiency and customer satisfaction.
  • Interacts with the customer and providers and contributes to the resolution of problems and disputes in a professional manner, handling escalated issues as applicable, escalating when necessary and following through to resolution.

What we're looking for

  • A minimum of three (3) years of experience in claims processing required; two (2) years of experience in leading people in a customer service team required.
  • Have experience in the healthcare industry in provider, insurance, operations, or administration, with Medicaid and/or Medicare knowledge and experience strongly desired.
  • Strong leadership skills, ability to motivate employees, strong verbal and written communication and presentation skills; exceptional interpersonal, customer service, problem-solving, and conflict resolution skills.
  • Attention to detail and strong organization skills.
  • Ability to multi-task and prioritize tasks related to project timelines to meet schedules, client deadlines, and delivery deadlines.

What you should expect in this role

  • Must be a resident of the state of California.
  • This is a hybrid work environment.
  • Ability to supervisor hybrid team.
  • The office is located in the West Sacramento area.

The pay range for this position is $77,200.00 - $96,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

Job Type: Full-time

Pay: $77,200.00 - $96,500.00 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Employee discount
  • Flexible schedule
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Tuition reimbursement
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Ability to commute/relocate:

  • West Sacramento, CA 95605: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • Medical billing: 1 year (Required)
  • Leadership: 2 years (Required)

Work Location: In person

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