Job Details

About the job Remote Operations Supervisor

The appropriate candidate would be responsible for managing workflow with a phone unit , developing and implementing policies and procedures, training staff to perform specific functions and managing employee performance.

The right candidate will lead recruiting, hiring and training efforts that enable creative solutions to identifying the best candidates and enabling the new hires for success.

Job Responsibilities:

• Responsible for the administrative functions and supervision of an operations unit. This includes backlog and quality management for a team of Operations/Customer Service associates
• Provide organization, direction and staffing for all assigned service calls and case load assignments to ensure all calls are answered in accordance with our policies and procedures.
• Monitor calls and audit case files daily to ensure the proper target resolution is identified and that, if possible, the case is closed at or near the target resolution.
• Ensure assigned staff members meet or exceed the standards, results, and responsibilities of their respective positions.
• Coach, mentor, and evaluate the performance of an assigned team.
• Assist in the selection, counseling, and discipline of all staff on the team.
• Provide oversight and direction to staff for assigned cases.
• Responsible for problem-solving issues and coordinating efforts with internal departments and subject matter experts.
• Provide healthcare benefit and claims consultation and support when appropriate to all internal departments.
• Routinely evaluate and monitor service calls and case management procedures to recommend any necessary changes to the Operations Manager.
• 11. Escalate cases through the appropriate channels in accordance with the policies and procedures.

Qualifications

• Call center experience preferred
• Bachelor's Degree or applicable work experience.
• Management or supervisory experience in healthcare benefits or claims processing.
• Strong leadership skills and the ability to build effective teams.
• Effective communication skills to interact with members, physicians, and insurance carrier representatives, with an emphasis on ability to communicate both verbally and in writing.
• Assertive, self-confident, and resilient.
• Basic computer skills.
• Ability to search and identify resources through the internet.
• Demonstrated ability to communicate concepts, strategies and plans in terminology understood by business professionals.
• Ability to interpret Explanation of Benefits (EOBs).
• Familiarity with various types of health insurance coverage, coordination of benefits, and UCR fees.

Pay Benefits Work Schedule
We offer a competitive benefits package including health and wellness benefits, 401k plan, and work/life balance programs, tuition reimbursement as well as opportunities for career growth and development.

Equal Opportunities

Optimere is an Equal Employment Opportunity employer that proudly pursues and hires a diverse workforce. Optimere does not make hiring or employment decisions on the basis of race, color, religion or religious belief, ethnic or national origin, nationality, sex, gender, gender identity, sexual orientation, disability, age or any other basis protected by applicablePLEASE NOTE: Optimere is unable to sponsor visas at this time. You must be a US Citizen or Permanent Resident authorized to work in the US.