Job description

Essential Duties and Responsibilities:

Plan and direct activities concerned with the development, application and maintenance of quality standards that promotes client satisfaction and that positively impacts the financial performance of the Company.

• Maintain and improve quality assurance by monitoring system performance; identify and resolve problems; audit and analyze staff performance; prepare and complete action plans; assist in managing system and process improvement and quality assurance programs.
• Supervise department personnel including interviewing, hiring, and training employees; plan, assign, and direct work; appraise performance; rewarding and disciplining employees; addressing complaints and resolving problems.
• Keep team informed of updates in plans and department procedures.
• Prepare quality assurance performance reports by collecting, analyzing, and summarizing data and trends; participate in internal and external quality audits.
• Establish work procedures and processes that support Company and departmental standards, procedures, and strategic directives.
• Use appropriate judgment in upward communication regarding department or employee concerns.
• Lead special or on-going projects.

Experience, Skills and Abilities Required:

• Health care industry experience required.
• Prior supervisory experience in health insurance claims processing or auditing.
• Extensive knowledge of medical claims processing and automated claims processing systems.
• Excellent interpersonal and communication skills; strong customer orientation.
• Good time management skills; highly organized.
• Ability to lead and motivate employees.
• Computer proficiency and working knowledge of Microsoft Office Suite.

Education:

• Bachelor’s degree in business administration or related degree desirable.

Physical and Mental Requirements:

• Ability to safely and successfully perform the essential job functions with or without a reasonable accommodation, including meeting qualitative and/or quantitative productivity standards.
• Ability to maintain regular, punctual attendance.
• Ability to sit for 6-8 hours.
• Constant use of computer keyboard and mouse; repetitive use of both hands.
• Occasional to frequent twisting of neck; frequent bending of neck and at waist

Job Type: Full-time

Pay: $49,781.34 - $114,066.58 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Mokena, IL 60448: Reliably commute or planning to relocate before starting work (Required)

Work Location: One location

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