Supervisor, Data Entry, Days

Administrative San Diego, California


Description

American Specialty Health, Inc. is seeking a Data Entry Supervisor to join our Medical Necessity/ Benefits Administrations Team. This position will oversee MNA Examiners Level I, II , and III, Administrative Support Reps and Fax Administrator

You are invited to learn more about American Specialty Health’s events on our events page.

Responsibilities

  • Supervises and is responsible for all Examiners, Senior Examiners and Administrative Support Reps.
  • Monitors data entry staff production ensuring all Medical Necessity Review (MNR) Forms and ReOpen/Modification forms are processed within 48 hours.
  • Assists staff in resolving problematic MNR Forms and ReOpen/Modifications within 24 hours of receipt.
  • Trains new Examiners.
  • Interacts with other Managers and Supervisors to ensure proper MNR Form processing.
  • Researches MNR Forms that do not meet performance standards and identifies ways to improve the approval process.
  • Monitors Administrative Support staff to ensure all queries are run on an hourly basis and files are delivered in a timely manner.
  • Ensures Senior Examiners process ReOpen/Modification Forms, Referrals, Pink Sheets and complex MNR Forms within standards.
  • Monitors performance of subordinates.
  • Prepares a variety of employee production reports for Manager and Human Resources.
  • Participates in the hiring and termination processes.
  • Documents subordinates’ performance and provides feedback
  • Coaches, counsels, and disciplines as necessary.
  • Prepares and delivers performance evaluations.   

Qualifications

  • High school diploma required.
  • Minimum two years’ experience in Specialty Health Care or related field; with at least one year in a supervisory capacity. 
  • Proficient in MS Office with experience in word processing and spreadsheets required.