Contract Operations Supervisor

Location
Oxnard, California
Salary
Not Specified
Posted
Apr 11, 2018
Closes
Jun 10, 2018
Ref
R958#GIJ--York.2
Job Type
Not Specified
Career Level
Not Specified

York Risk Services Group is a premier provider of insurance, risk management, alternative risk, pool administration and claims management solutions to clients across hundreds of industries. Recently named by Forbes as one of "America's Best Midsized Companies 2017" We firmly believe that our employees drive the success of the company. With success in mind as the ultimate goal, we strive to create and provide an environment that offers challenging, stimulating and financially rewarding opportunities.

Job Description

JOB SUMMARY:

The Contract Operations Supervisor will act as the administrative supervisor for all independently contracted Case Managers with WellComp Managed Care.

ESSENTIAL JOB RESPONSIBILITIES:

  • Oversees the overall operations of the WellComp Contract Department
  • May supervise other clerical contract support
  • Will be able to answer questions regarding billing errors/system issues
  • Will be responsible for setting-up new WellComp Contract Case Managers in CareLink, this will include assigned an HR ID
  • Will maintain WellComp National Contract Log
  • Will maintain WellComp Contract personnel files; including license verification, confirming insurance
  • Contact potential contract candidates, discuss WellComps expectations and negotiate hourly rate
  • Complete and send out WellComp welcoming contract packet
  • Review contract referrals for adherence to WellComps service, documentation and billing standards
  • Review contract referrals for adherence to WellComps special handling instructions
  • Run CareLink reports to confirm compliance
  • Provide CareLink training to the WellComp Contract Case Managers
  • Assures all contract procedures and policies are being followed
  • Will direct all clinical communications to appropriate Team Leads

SUPERVISORY RESPONSIBILITIES:

SUPERVISION RECEIVED:

  • The Contract Operations Supervisor reports Unit Manager, Clerical Division

SUPERVISION EXERCISED:

  • NA

QUALIFICATIONS:

EDUCATION:

  • High School Diploma Required or Equivalent Work Experience / College Preferred; Business Administration

EXPERIENCE:

  • 3 to 5 years
  • Clerical administration and/or supervisory experience

SKILLS/ABILITIES:

  • Self-motivated
  • Attention to detail
  • Effective interpersonal skills
  • Ability to multitask
  • Ability to prioritize workload
  • Excellent written and oral communication skills
  • Strong organizational skills

KNOWLEDGE:

  • Microsoft Suite of products: Outlook, Word, Excel, PowerPoint
  • Knowledge of Workers Compensation and the role of the Contract Nurse Case Manager
  • Medical terminology preferred

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