Supervisor, Document Processing

Company: Maximus
Location: Tallahassee
Posted on: March 19, 2023

Job Description:

The Supervisor of Document Processing OR Document Processing Supervisor oversees the Document Control Unit team for the Florida State Children's Health Insurance program. This is a hands-on role and will coach and manage staff productivity as well as work alongside team members in the process of receiving documents via email, web uploads and mail. The team also scans/imports documents into the system and performs quality checks and tracking.

Primary Responsibilities :

Supervise provider document indexing and batch review, including review of indexing quality and work towards process improvements. Must ensure timely processing within SLA and contractual obligations

Supervise claim resolution processing (90 Day Billing Waivers, Voids, and PAs), including review of claim data entry accuracy by outside vendor

Supervise clerks in document review and prep, including wet signature comments, rebuilding ATNs, and processing provider correspondence

Perform research into state related, provider, CARTS issues and/or vendor questions or problems

Review, reconcile, and communicate data and decisions across systems and reporting

Pull client requested files and responsible for staff development and conducting one- on- one and team meetings

Provide coaching and formal warnings as necessary

Develop and train staff on job systems and functions

Handle quarterly bonus and annual performance appraisals

Responsible for data collection and regular reporting, both internal and external, includes providing data for 66a and 45a, as well as producing individual reporting for claim resolution and processing

Follow established practices and procedures in analyzing situations or data

Monitor daily operations of a unit or sub-unit

Frequently interact with subordinate employees and functional peer groups

Receive predetermined work assignments that are subject to a moderate level of control and review

Direct subordinates to complete assignments using established guidelines, procedures, and policies

Develop work schedules and assign duties to subordinates to ensure efficiency

Evaluate job performance and recommend appropriate personnel action

Discuss job performance concerns with subordinates to identify causes and issues and works closely with the Human Resources department on resolving problems

Identify training needs and development opportunities for subordinates

Ensure compliance with company Wage & Hour policy, including ensuring non-exempt employees get the rest & meal breaks

Comply with all company required policies, procedures and processes including but not limited to required training

Provide immediate supervision to a unit or group of employees, assigning tasks, checking work at frequent intervals, and maintaining schedules

Keywords: Maximus, Tallahassee , Supervisor, Document Processing, Other , Tallahassee, Florida