Claims Team Lead I

HealthEdge • Remote,

6d • $44,000 - $50,000 • Remote

About The Position

HealthEdge is looking for a Claims Team Lead, reporting to the Claims Manager. The Claims Team Lead is responsible for a team of typically 12-15 claims examiners, adjusters, extensive interaction with client organization, and multiple stakeholders. The Claims Team Lead is accountable for delivering a high-quality claims operation, meeting and exceeding all service level agreements and KPIs, driving operational excellence, and building competencies for delivery.

Requirements

• 5+ years healthcare claims processing experience
• Solid understanding and ability to effectively lead a claims team
• Good communication skills (verbal and written)
• Microsoft application experience, especially Excel is suggested
• Knowledge base of physician billing and hospital coding (ICD-10, HCPC, CPT-4), medical terminology, and authorization requirements
• Willingness to learn new skills
• Team collaborator
• Strong work ethic

Nice To Haves

• ICD-10 CPT and HCPCS coding is a plus
• The ability to adapt quickly to a fast-paced environment
• A self-starter and quick learner
• Team player with an ability to collaborate
• Ability to coach the team to reach their full potential
• Dependability and the ability to work independently

Responsibilities

• Be responsible for directly managing a staff of typically 12 - 15 associates
• Be responsible for knowing and meeting client-specified guidelines
• Be responsible for monitoring and management of the downline staff’s productivity targets and financial and procedural accuracy standards as established by management
• Collaborate on special projects as assigned by the manager; special projects can include process documentation development, training, quality audits, assisting with surge activity for the client(s), or any other project as determined by management
• Establish and maintain an appropriate level of communication with management to address issues and concerns and take preventive measures that ensure processing accuracy and quality
• Assemble and assign projects that may include provider data, authorizations, enrolment, or other information
• Perform other duties as assigned by your leadership

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed