Responsibilities
- Manage day-to-day team operations to ensure delivery of high-quality service
- Deliver training and coaching sessions with actionable insights for performance improvement
- Monitor and report on key performance indicators including attendance and compliance
- Maintain regular communication with clients through updates via calls, emails, and reports
- Handle additional supervisory duties as needed
- Examine rejected claims to identify underlying causes and determine resolution paths
- Resolve standard and complex claim denials efficiently and accurately
- Access and operate multiple billing and insurance portals to retrieve and update claim data
- Communicate with insurers via phone or digital platforms to clarify claim statuses and denial reasons
- Submit appeals, corrected claims, and supporting documents as required
- Log and maintain detailed records of all claim-related actions
- Recognize denial patterns and escalate persistent issues for further review
Compensation
21K signing bonus
Work Arrangement
Not specified
Team
Team leadership role within a healthcare insurance support environment
Responsibilities
- Oversees daily operations for all agents delivering high-quality and valued services
- Conduct training and coaching, including insights and action plans to improve
- Analyze and report on productivity and other metrics - such as attendance, end-of-day reports, and compliance with company protocols
- Ensure that the client is updated on significant program activities, issues, and concerns through calls, emails, meetings, reports
- Perform other supervisory tasks as required
- Review and analyze denied claims to determine root causes and appropriate next steps
- Address and resolve claims based on the most common denial reasons as well as unique or complex scenarios
- Navigate multiple billing and payer portals to gather claim information and submit corrections or appeals
- Contact insurance companies via phone or online systems to clarify denial details and follow up on claim status
- Prepare and submit appeals, corrected claims, or additional documentation as required
- Track and document all actions taken on claims for accurate record-keeping
- Identify trends in denials and escalate recurring issues when necessary
Not specified
