The Document Management Supervisor is responsible for supervising staff in document processing, focusing on two main areas of Provider Enrollment and Claims Suspense/Paper Claim Processing. The Supervisor will coordinate, review and process provider enrollment, revalidation and special project documentation, claim suspense materials and prior authorizations. This includes coordination of document quality review processing and timely monthly reporting to EOHHS. The position will handle training, determine workflow, and ensure work is completed accurately and within contractual obligations. The position will handle inquiries with document processing subcontractor, SourceHOV. The position will supervise 8-10 clerks/specialists.
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. Required to review, reconcile and communicate data and decisions across systems and reporting. This includes client requested file pulls
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