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Medical Documents Review - Supervisor

Company: Deloitte
Location: Boca Raton
Posted on: September 20, 2022

Job Description:

Are you a creative thinker who loves to be on the cutting edge, solving problems though innovative technology solutions? Are you passionate about customer strategy, digital design, marketing, and platform development? Our Customer & Marketing Offering Portfolio integrates the differentiated customer and marketing businesses that support the mission-critical goals of federal, state and local government agencies, and higher education institutions. By joining our team, you will play a vital role in making an impact for our clients and the people they serve through our growth strategy, enhanced user experiences, and engagement through the entire lifecycle of customers' interactions with the public sector.Work you'll do :Oversees the status of operational team during your shift to ensure the timely completion of cases. Reviews incoming Electronic Service Records (ESR) and associated questionnaires to appropriately assign and schedule work of their team. Maintains an understanding of work in progress and provides reports to Operations Managers as needed. Monitors their team and assigned worked to evaluate performance and enable caseload to be completed on time and meet quality objectives. Responsible for the daily operational workflow, to include communication with external and internal customers, resolution of claimant, provider, and client issues, and identify workflow concerns for specific cases and employees. Manage processes focused on effective customer service, ensure immediate escalation of issues, and participate in meetings to discuss the case management process.Supervise a team of 10-20 Triage AgentsReview complicated medical records, ESRs, other material to align appropriately.Monitor cancelation request queues and submit to the government per business rulesDirect operations during covered shift across triage, intake, scheduling and other functions to maintain performance objectivesIdentify issues in operations, develop remediation plans, and deploy corrective actionsDirect operational supervisors and teams on priority of workHandle complicated case actionsRespond to priority requests for information or escalated issuesParticipate in command center discussions to review metrics and brief out operationsParticipate in team meetings and offers feedback to/from staffAbility to work flexible shifts (could include weekends and holidays)The teamDeloitte's Government and Public Services (GPS) practice - our people, ideas, technology and outcomes-is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of over 15,000+ professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.The Contact Center focuses on advising, implementing, and operating contact center operations and technology to elevate the human experience in a digital world. We achieve this by helping our clients discover, design, and implement tailored contact center operations and telephony solutions. We bring knowledge and solutions to uncover the behaviors, motivations and preferences of our clients' customers and develop new experiences for them. We are a matrixed organization where we align various resource groups to deliver and provide high quality services.QualificationsRequired:High School Diploma/ GED Required5+ years total professional experience in a related field4+ years experience as a Supervisor or Manager with a team of 10+2+ years experience reviewing/analyzing documents such as medical records, insurance claims, legal documents or Government documents.Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the futureAbility to work remotely or work from homePreferred:Bachelor's DegreePrior Management experience in a healthcare setting.previous experience analyzing large documents (50-200 pages) and writing case review summariesStrong customer service skillsAbility to multitask and adapt to shifting prioritiesPrevious experience documenting in electronic health records

Keywords: Deloitte, Boca Raton , Medical Documents Review - Supervisor, Healthcare , Boca Raton, Florida

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