Claims Supervisor
About Lantern
Lantern is the specialty care platform connecting people with the best care when they need it most. By curating a Network of Excellence comprised of the nation's top specialists for surgery, cancer care, infusions and more, Lantern delivers excellent care with significant cost savings to employers and their workforces. Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the entirety of their care journey, helping them get back to good health, back to their families and back to work. With convenient access to specialists nationwide, Lantern means quality care is within driving distance for most. Lantern is trusted by the nation's largest employers to deliver care to more than 6 million members across the country. Learn more about us at lanterncare.com.
About You:
- You use LOGIC in your decision making and understand that progress is critical to making change. You focus on the execution of your content while balancing a fast-paced environment and you take the time to celebrate both the small & big wins.
- INCLUSION is a core tenant of your personal beliefs. A diverse and inclusive environment is incredibly important to you. You understand and desire to be a part of a diverse team with different experiences and perspectives & you cherish the differences in each individual that you interact with.
- You have the GRIT, drive and ambition to tackle big problems. Big problems require big ideas and a team that supports new ideas.
- You care deeply for your customers are driven to keep HUMANITY in all decisions. Your customers aren’t just the individuals using your product. They are the driving factor in your motivation to make a change.
- Integrity guides you in life. Focusing on the TRUTH vs. giving people the answers they want to hear.
- You thrive in a Team Environment. Collaboration is key in innovation and creating change.
These pillars of LIGHT are a reminder to our team that we are making a difference by providing guidance and support in navigating the often complex and confusing landscape of healthcare. We hope that through this LIGHT, individuals can find their way to the best care, resources, and support they need to get back to life.
If this sounds like you, we would love to connect to speak further about career opportunities at Lantern.
Please apply to our role & someone from our Talent Acquisition Team will reach out to help you navigate our interview process.
Claims Supervisor
The Claims Supervisor is responsible for supporting the manager of Claims with building, developing, and providing leadership for a team of employees who help navigate claims, reimbursements, and reimbursement inquiries. The team consists of Claims Assistants and Claims Associates. The Supervisor supports the manager in setting and upholding the tone of the team by creating an environment that fosters confidence in assisting our providers and clients while also fulfilling their job responsibilities. A successful Supervisor will facilitate intradepartmental relationships, inspire collaboration, assist with member development and training, drive results through data management, and create efficiencies in assisting providers and clients.
Location: Dallas, Texas | On-site Full Time
Responsibilities:
Talent Management
- Supports Manager of Revenue Cycle Management in hiring, developing, and retaining talent
- Provides coaching and development to Claims Assistants and Claims Associates.
- Models a team-centered culture within the team and reward innovation that improves provider and client satisfaction.
- Provides functional guidance, training, and assistance to Claims Assistants and Claims Associates.
- Provides coaching and development to team members.
Business Operations
- Utilizes data and observations to complete recurring one-on-one feedback templates and deliver feedback to direct team.
- Schedules work to ensure accurate coverage, monitors productivity and shifts escalations to assure resolution to problems.
- Prepares standard reports to track workload, response time and quality of input.
- Assists in planning and implementing department goals and makes recommendations to senior management to improve efficiency and effectiveness
- Consistently monitors and reviews team data to drive provider satisfaction, change management, and SLAs.
- Delegates and manages success of special project allocation to appropriate team members as determined by business needs.
- Supports manager of Revenue Cycle Management with driving defined metrics to achieve client, company, and provider experience goals.
- Supports manager of Revenue Cycle Management by owning, reporting, tracking, and managing of defined KPI’s
- Communicates information regarding business metrics, provider satisfaction, and productivity.
Experience
- Responsible for helping our Claims Assistants and Claims Associates get answers to questions, resolution to issues, and support for initiatives which help improve the provider experience.
- Handles second level provider and client escalations.
- Communicates information to team with respect to provider expectations.
- Identifies and resolves problems to ensure provider, client, and member customer service is maintained at the highest level and communicates noticeable trends to manager of Revenue Cycle Management for escalation.
- Partners with the manager of Revenue Cycle Management to ensure effective provider implementation and keeping the account management contact aware of issues and trends.
Requirements:
- Preferred 2 or more years of experience in healthcare space
- Advanced experience utilizing Microsoft application
- Proven ability to deliver results in a service-based healthcare or insurance environment
- Ability to work effectively in a team environment
- Strong written and verbal communication skills
- Strong critical thinking and problem-solving skills
- Motivated team play with a positive attitude and ability to work in fast-paced environment
- Ability to effectively organize work activities to meet deadlines
- Ability to manage up to 10 Provider Claim Specialists
- Must be comfortable being able to multitask and solve problems.
Benefits
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Short & Long Term Disability
- Life Insurance
- 401k with company match
- Paid Time Off
- Paid Parental Leave
Lantern does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.
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