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Supervisor, Claims

Tallahassee Community College

Supervisor, Claims

Tallahassee, FL
Paid
  • Responsibilities

    [VACANCY ANNOUCEMENT]

    COMMUNICATION & HUMANITIES

    VOLUNTEERS/INTERNS

    * APPLICATION DEADLINE: OPEN UNTIL FILLED*

    HOURS: MAY VARY BASED ON EVENT

    SALARY: NO COMPENSATION FOR VOLUNTEERS OR INTERNS

    CONTACT: OFFICE OF COMMUNICATIONS & HUMANITIES VIA EMAIL AT cohu@tcc.fl.edu

    BACKGROUND: Tallahassee Community College’s Department of Communications and Humanities provides several opportunities for members of the local community and TCC students and faculty to work together in providing performing arts events to the Tallahassee community. Such opportunities for college and community collaboration include the TCC African Drum and Dance Ensemble, the Tallahassee Civic Chorale, and Capitol City Band of TCC. We seek individuals with a love of the arts and a desire to learn to facilitate performing opportunities for students and non-students alike.

    MAJOR FUNCTION: Responsibilities include: attending regular rehearsals with the given performing ensembles, practicing music and dance repertoire, offering instruction and direction to the ensembles where appropriate, and participating in all major performances.

    MINIMUM TRAINING/EXPERIENCE: No experience required.

    SUCCESSFUL APPLICANTS WILL DEMONSTRATE THE FOLLOWING: Appropriate background and experience with music and/or dance; enthusiasm for and knowledge of the traditions and repertoire of the respective music and dance forms; collegial attitude toward fellow ensemble members; ability to focus and follow instruction during rehearsal; willingness to work outside of rehearsal time to perfect individual parts; commitment to the highest possible quality of performance.

    *TCC IS AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION/E-VERIFY EMPLOYER *

    The selected candidate identified for this position will be required to successfully complete a criminal background check, which may include fingerprinting.

    The College uses E-Verify as part of the I-9 process to verify the work eligibility of all new hires. Tallahassee Community College does not discriminate against any person on the basis of age, color, disability, ethnicity, gender identity, genetic information, marital status, national origin, pregnancy, race, religion, sex, sexual orientation, or veteran status in its programs and activities. Inquiries regarding the College’s non-discrimination policies may be directed to: Renae Tolson, Equity Officer, Room 239 Administration Building, 444 Appleyard Drive, Tallahassee, FL 32304, (850) 201-6074, tolsonr@tcc.fl.edu.

    ALL PERSONS ARE ENCOURAGED TO APPLY.

    If you need an accommodation to participate in the application/selection process, please notify Human Resources at (850) 201-8510.

    Required Skills Required Experience

  • Qualifications
    • In-depth knowledge of: procedure coding and medical terminology, and their application in benefits; general medical policy benefits and exclusions; industry standard payment practices.
    • In-depth knowledge of claims processing systems, including coding.
    • Basic knowledge of claims administration metrics models.
    • Basic knowledge of audit processes, and the ability to effectively implement and maintain them.
    • Ability to read, interpret and apply complex written guidelines, instructions and other materials.
    • Ability to develop, execute and monitor relevant business plans.
    • Basic analytical skills.
    • Decision quality: Makes good and timely decisions that keep the organization moving forward.
    • Action oriented: Takes on new opportunities and tough challenges with a sense of urgency, high energy and enthusiasm.
    • Resourcefulness: Secures and deploys resources effectively and efficiently; organizes people and resources to solve problems and identify opportunities.
    • Directs work: Provides direction, delegates and removes obstacles to get work done.
    • Plans and aligns: Plans and prioritizes work to meet commitments aligned with organization goals.
    • Optimizes work processes: Knows the most effective and efficient process to get things done, with a focus on continuous improvement; can develop, implement and maintain processes.
    • Ensures accountability: Holds self and others accountable to meet commitments.
    • Drives results: Consistently achieves results, even under tough circumstances.
    • Organizational savvy: Maneuvers comfortably through complex policy, process and people-related organizational dynamics.
    • Being resilient: Rebounds from setbacks and adversity when facing difficult situations.
    • Courage: Steps up to address difficult issues, says what needs to be said.
    • Situational adaptability: Adapts approach and demeanor in real time to match the shifting demands of different situations.
    • Strong oral and written communication skills with the ability to communicate with diverse individuals inside and outside of HPSJ.
    • Good presentation skills.
    • Strong facilitation, problem solving and conflict resolution skills.
    • Strong interpersonal skills with the ability to maintain effective working relationships with diverse individuals inside and outside of HPSJ
    • Ability to commit to and facilitate an atmosphere of collaboration and team work.
    • Strong customer service skills.
    • Demonstrated ability to articulate and support HPSJ’s vision, mission, values and strategy, integrate into management practices, and foster their manifestation among staff.
    • Demonstrated ability to supervise staff in a manner that maximizes employee performance and business results.
    • Ability to develop and deliver relevant and effective training and supporting materials.
    • Intermediate skills in Word and Excel, including the ability to develop formulas and links.
    • Basic mathematics skills.
    • Ability to speak and be understood in English.
    • Ability to handle confidential information with appropriate discretion.

    Preferred

    • In-depth knowledge of regulations and procedures governing MediCal and other state sponsored programs.
    • In-depth knowledge of the principles and practices of managed care.
  • Industry
    Education