Support Lead

at MultiPlan in Naperville, Illinois, United States Job Description Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions. Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine!

JOB SUMMARY

The Lead is responsible for assisting the supervisor with day-to-day workflow of the Department. In addition, this job is responsible for the handling, research, and communication regarding complex and escalated claims inquiries stemming from clients, providers, and team members.

JOB ROLES AND RESPONSIBILITIES

1. Assist Supervisor in daily operations and processes within the department. 2. Identify and notify the supervisor of potential escalated issues or system related concerns. 3. Assist in training new employees and remedial training for existing employees, including new or revised procedures. 4. Provide general support to the team members, serve as a resource and answer questions Serves as subject matter expert and as back-up within the team. 5. Coach and mentor staff while assisting with more challenging issues and cases. 6. Support the quality audit review and rebuttal process. 7. Ensure the maintenance of and compliance with department performance metrics for production, accuracy, and turnaround time. 8. Foster and maintain relationships with internal and external customers, including but not limited to the provider, client, member, or other internal customer. 9. Monitor compliance with all departmental policies, procedures, and workflows and collaborate with the training team, as necessary. 10. Review workflows and outputs to recommend appropriate workflow revisions and collaborate with other internal departments. 11. Lead and/or participate in various research projects for Sr. Management and Clients, as assigned. 12. Collaborate, coordinate, and communicate across disciplines and departments. 13. Ensure compliance with HIPAA regulations and requirements. 14. Demonstrate Company's Core Competencies and values held within. 15. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role. 16. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned, as necessary.

JOB SCOPE

The incumbent impacts efficiency and effectiveness of departmental operations. This is an entry level leadership role that has the authority and responsibility to facilitate and communicate training, new processes, coaching, and mentoring. The incumbent works independently under minimal supervision but collaborates and communicates with the supervisor or manager on a daily basis. Specific to HR actions such as hiring, salary adjustments, position changes, termination and other disciplinary actions, the incumbent refers to the Supervisor or Manager. As an Equal Opportunity Employer, the Company will provide equal consideration to all employees and job candidates without regard to sex, age, race, marital status, sexual orientation, religion, national origin, citizenship status, physical or mental disability, political affiliation, service in the Armed Forces of the United States, or any other characteristic protected by federal, state, or local law. Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled To view full details and how to apply, please login or create a Job Seeker account