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Solventum

Global healthcare company: wound care, dental

Durable Medical Equipment Claim Submission Specialist Supervisor

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeNo salary listed

About the Job

Requirements

  • A high school diploma is required.
  • A bachelor's degree or in-process studies of administration, verified before the start date, are required.
  • Advanced English proficiency at C1 is required.
  • Two years of successful experience in a supervisory or leadership role are required; healthcare experience is preferred.
  • Advanced Microsoft Office skills and mastery of Office functions and features are required.
  • Proficiency in billing software systems and other relevant healthcare applications is required.
  • Knowledge of data analysis tools, Excel, Power BI, and Tableau for advanced data analysis is required.
  • Proficiency in navigating and using the organization's internal systems and software platforms is required, including Delair, HERO, SSI, PASS, FileNet P8, Payer Tool, PORT, and payer portals.
  • Problem-solving skills and methods to address complex claim submission issues and challenges are required.
  • Understanding of Lean principles to streamline workflows and improve efficiency is required.
  • Ability to manage change effectively by implementing change-management techniques is required.
  • Familiarity with electronic health record systems is required, as the role may involve accessing and updating patient information in electronic medical records.
  • Attention to detail and accuracy when processing billing information and documentation are required.
  • Time-management and organizational skills to prioritize tasks, work efficiently, and meet deadlines are required.
  • Knowledge of HIPAA regulations and other compliance standards governing patient privacy and healthcare billing practices is required.

Responsibilities

  • Provide leadership and guidance to the Claim Submission Lead and Claim Specialists by setting clear expectations, goals, and priorities.
  • Ensure the team has the knowledge, resources, and support to manage the team effectively and navigate claim submission challenges.
  • Oversee the performance-management process, provide constructive feedback, and identify areas for improvement and professional development.
  • Establish strategic direction and initiatives to optimize claim submission processes, reduce errors, and enhance efficiency.
  • Promote open communication, address concerns promptly, and foster a collaborative and supportive team environment.
  • Allocate resources for the team's day-to-day operations so it can perform daily duties and achieve service-level agreements and targets.
  • Maintain relationships with key stakeholders, department leaders, and supervisors; represent the department in meetings and discussions to achieve shared goals.

Desired Qualifications

  • Experience in healthcare is preferred.
  • Experience working in post-acute care settings, including home health agencies, skilled nursing facilities, or wound care centers, or with providers in this sector, is a plus.
  • Experience with CPT and HCPCS coding systems and ICD-10 diagnosis coding is a plus.

About the Company

Solventum

Global healthcare company: wound care, dental

Solventum is a global healthcare company spun off from 3M in 2024 and traded on the NYSE as SOLV, with four segments: MedSurg, Dental Solutions, Health Information Systems, and Purification and Filtration. MedSurg covers wound care and surgical supplies, Dental Solutions handles orthodontics and dental procedures, Health Information Systems provides clinical documentation and data-management software for hospitals, and Purification and Filtration offers filtration technologies for biopharmaceuticals and dialysis membranes. It serves providers through direct sales, distributors, and e-commerce, and it holds a portfolio of over 7,300 patents, giving it a broad platform that combines devices, software, and filtration technologies. The company aims to streamline operations, strengthen its commercial model, and pursue growth through disciplined portfolio management and mergers and acquisitions to scale healthcare solutions globally.

Company size
10,001+
Company stage
IPO
Headquarters
Eagan, MN
Founded
2023

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