The Payment Integrity Supervisor is responsible for the daily activities of payment integrity team related to quality assurance and provider appeals. The Supervisor manages and prioritizes staff daily work assignments necessary to ensure the timely and accurate processing of internal and external requests, interdepartmental quality audits and appeals. 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.
This is a remote position.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

• Supervises all daily activities of payment integrity team related to quality assurance and provider appeals
• Ability to assist team with problem-solving, payer policy and clinical questions regarding audits performe...