[Hiring] Supervisor, OSM @EnableComp

Role Description

The Supervisor, OSM is a critical support role that oversees a team of Revenue Specialists and Account Managers and serves as the internal escalation point for claim processing resolution. This role also supports the overall success of our client’s accounts by managing and responding to client inquiries, engaging document management processes for the purpose of processing claims as well as payment research, invoice/billing inquiries, file delays, system access, and other relevant items.

Key Responsibilities

• Responsible for the daily supervision of assigned Revenue Services teams.
• Serves as the primary escalation point to resolve roadblocks that may hinder the claims resolution process.
• Partners with Managers to disseminate priority of daily tasks to assigned team.
• Prepares performance evaluations and account reviews.
• Analyzes and evaluates claim payments using EnableComp’s proprietary software.
• Researches, requests, and acquires all pertinent medical records and supporting documentation.
• Manages internal coordination and communication for external client requests.
• Creates, reviews, and maintains external-facing client reports.
• Facilitates internal and external meetings to discuss process improvements.
• Responds and communicates with external clients regarding various topics.
• Conducts timely follow-up with insurance companies to ensure proper reimbursement.
• Prepares correct initial bill packet or appeal letter using EnableComp systems tools.
• Works with Data Analytics team to research issues with claim and payment imports.
• Trains and mentors staff as needed, especially new hires.
• Works with Data Quality team to research issues with calculations.
• Works with Document Management team to remove roadblocks around document acquisition.
• Performs Quality Control tasks regarding account flow and due diligence.
• Usually works with more difficult clients.
• Responsible for the full employee life cycle including hiring, training, and performance management.
• Handles patient health information (PHI) while maintaining privacy and security.
• Supports operational initiatives through team collaboration.
• Other duties as required.

Qualifications

• High School Diploma or GED required; Associates or Bachelor’s Degree a plus.
• 5 years’ experience in healthcare field working in billing or collections.
• 5 years’ client-facing/customer service experience.
• 1-2 years supervisory or team lead experience.
• 3-5 years’ experience with workers compensation billing and collections preferred.
• Intermediate level understanding of insurance payer/provider claims processing.
• Strong computer proficiency, including MS Office (Word, Excel, and Outlook).
• Equivalent combination of education and experience will be considered.
• Regular and predictable attendance.

Requirements

• Must demonstrate exceptional interpersonal skills and exhibit an approachable nature.
• Can-do attitude with service-oriented approach and strong sense of urgency.
• Must be a self-starter and able to work independently without direct supervision.
• Proven written and verbal communication skills.
• Strong analytical and problem-solving skills.
• Ability to appropriately handle stress and interact cooperatively with others.
• Proven experience working with external clients; strong customer service skills.
• Ability to prioritize and manage multiple competing priorities and projects concurrently.
• General office environment; must be able to sit for long periods of time.

Benefits

• EnableComp is an Equal Opportunity Employer M/F/D/V.
• All applicants will be considered based on experience and knowledge.
• Commitment to creating and maintaining a workforce environment free from discrimination or harassment.
• Continuous commitment to building and maintaining a culture centered around professional growth.