Operations

• Direct and supervise claims/documents processing and support team associates to ensure claims/documents are processed in a timely and efficient manner to maintain contract compliance standards.
• Prepare and analyze reports of pending and processed documents, claims, adjustments and reprocesses, and quality audits of claims/documents that measure level of performance of the team.
• Administer and oversee quality control procedures and ensure compliance of all corporate and contract required guidelines.
• Select and maintain a well-trained staff.
• Identify potential education and system issues.
• Establish and maintain a high level of customer service with all internal and external customers.
• Direct and supervise the customer service associates to ensure that all correspondence and telephone inquiries are processed in a timely and efficient manner to maintain contract compliance standards.
• Select and maintain a well-trained staff.
• Identify potential education and system issues.
• Participate as project leader on policy changes, quality improvements initiatives and system change efforts, while ensuring corporate, contractor, and department policies and procedures are administered timely, consistently and accurately.
• Identify system errors and process/quality improvement opportunities, initiate work requests, and serve as the customer project lead to ensure accurate implementation.
• Assist in budget preparation and monitor expenses related to the budget.

Operations Manager

Supervisor, Operations

Operations Manager