Manager, Appeal Shipment Teams

CorroHealth•Plano, TX

2d•Remote

About The Position

CorroHealth is seeking a Manager, Appeal Shipment Teams to join our team! This is a REMOTE position within the US Only. The Manager of the Appeals Shipment Teams will oversee (2) Supervisors, the quality assurance, documentation completeness, regulatory adherence, and operational efficiency across all pre- and post- shipment workflows. Monitor workload distribution and performance metrics to maintain a balanced, high-performing team environment. Develop and refine workflows to enhance turnaround time, quality assurance, and escalation management. Oversee communications for the Appeals Pre- and Post- Shipment divisions, ensuring timely, consistent, and professional correspondence across internal teams, clients, and payers. Serve as the key liaison between Operations, Quality, and Leadership to support clear process alignment and continuous improvement initiatives. Facilitate team meetings and cross-departmental updates to ensure transparency and unified departmental direction. Partner with senior leadership to identify process improvement opportunities and streamline Appeals workflows through data analysis and Lean methodology. Partner with analytics teams to track trends in appeal success rates tied to submission quality. Promote accountability and professional development within the team, emphasizing accuracy, communication excellence, and client satisfaction. Drive reduction of manual work, including minimization of mail/fax processes in favor of portal submissions where applicable. Analyze root causes of resubmissions, rework, and rejected/returned appeals (e.g., missing clinical documentation, incorrect forms, filing limit issues, or submission method errors). Develop and implement corrective action plans to address recurring issues and prevent downstream delays. Establish feedback loops to continuously improve first-pass submission quality and reduce avoidable resubmissions. Track and provide regular reporting and insights to leadership on key performance indicators (KPIs) including: Appeal readiness turnaround time, Quality audit scores, Submission timeliness, Volume by payer and submission method. Utilize tools such as Salesforce, Power BI, or other reporting platforms to drive data-informed decision making.

Requirements

Regular eye-hand coordination and manual dexterity is required to operate office equipment.
The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required.
At times, Team Members are subject to sitting for prolonged periods.
Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs.
Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.

Nice To Haves

Experience in multi-payer, multi-state appeals operations
Familiarity with Payer Portals, workflow tools, and automation initiatives
Experience implementing SOPs, QA programs, or operational transformations
Process improvement experience

Responsibilities

Oversee (2) Supervisors, the quality assurance, documentation completeness, regulatory adherence, and operational efficiency across all pre- and post- shipment workflows.
Monitor workload distribution and performance metrics to maintain a balanced, high-performing team environment.
Develop and refine workflows to enhance turnaround time, quality assurance, and escalation management.
Oversee communications for the Appeals Pre- and Post- Shipment divisions, ensuring timely, consistent, and professional correspondence across internal teams, clients, and payers.
Serve as the key liaison between Operations, Quality, and Leadership to support clear process alignment and continuous improvement initiatives.
Facilitate team meetings and cross-departmental updates to ensure transparency and unified departmental direction.
Partner with senior leadership to identify process improvement opportunities and streamline Appeals workflows through data analysis and Lean methodology.
Partner with analytics teams to track trends in appeal success rates tied to submission quality.
Promote accountability and professional development within the team, emphasizing accuracy, communication excellence, and client satisfaction.
Drive reduction of manual work, including minimization of mail/fax processes in favor of portal submissions where applicable.
Analyze root causes of resubmissions, rework, and rejected/returned appeals (e.g., missing clinical documentation, incorrect forms, filing limit issues, or submission method errors).
Develop and implement corrective action plans to address recurring issues and prevent downstream delays.
Establish feedback loops to continuously improve first-pass submission quality and reduce avoidable resubmissions.
Track and provide regular reporting and insights to leadership on key performance indicators (KPIs) including: Appeal readiness turnaround time, Quality audit scores, Submission timeliness, Volume by payer and submission method.
Utilize tools such as Salesforce, Power BI, or other reporting platforms to drive data-informed decision making.