Provider Relations Supervisor

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Job description

Provider Relations Supervisor

The Provider Relations Supervisor will be responsible for daily operations within the Provider Relations department. The Supervisor manages and prioritizes staff daily work assignments necessary to ensure the timely and accurate processing of internal and external requests along with appeal submissions. Additionally, the supervisor works to reduce response timeframes and mitigate future inquiries or escalations by being proactive, taking ownership of challenges, and formulating solutions to improve overall department activities while maintaining a focus on improving how we deliver service to our customers.

Requirements:

• 5+ years of relevant experience in a medical or insurance field, which required heavy involvement in bill review processing of claims.


• 2+ years of previous supervisory/management or project management experience a plus.


• Knowledge of Medicare (CMS) and Medicaid regulations, regulatory compliance, Managed Care, and medical claims process.

Benefits:

• Salary, monthly bonus, mileage reimbursement, and excellent comprehensive benefits including Health Insurance and 401k company match

Who We Are
Headquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals from staff to leadership with both clinical and non-clinical employers. Our Comprehensive and Customer Focused Workforce Solutions include, Right-to-Hire Contract Staffing, Direct Placement, and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationally. Pivotal Placement Services is an Equal Opportunity Employer.

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