Recovery Team Lead
$32,469–$49,546 year
RemoteUnited States
Job Summary
Manage team performance by setting standards, measuring results, and providing feedback to ensure timely and accurate processing of internal and external requests. Analyze claims audit data across multiple platforms, identify workflow barriers, and formulate solutions to reduce response times and mitigate escalations. Assist leadership in obtaining complex information from financial, clinical, and operational systems while producing daily, monthly, and annual evaluative reports on revenue cycle transactions. Handle escalated client and executive requests, participate in panel interviews and new hire orientation, and lead initiatives to improve department activities and service delivery. Ensure strict confidentiality of all medical records, PHI, and PII.
Required Qualifications
- 5+ years of relevant experience in a medical or insurance field, which required heavy involvement in bill review processing of claims
- 3+ years of previous supervisory/management or project management experience a plus
- 3+ years of relevant experience or equivalent combination of educations and work experience
- Demonstrated knowledge of CMS guidelines and ICD-10 coding guidelines as applicable
- Strong understanding of claims processing, ICD-10 Coding, DRG Validation (if applicable)
- Strong understanding of healthcare revenue cycle and claims reimbursement
- MS Office including Word, PowerPoint, Excel and Outlook; Windows operating system and Internet
- Strong analytical and problem-solving skills
- Strong attention to detail and ability to deliver results in a fast paced and dynamic environment
- Strong interpersonal skills and adaptive communication style, complex problem-solving skills, drive for results, innovative
- Ability to think and work independently, while working in an overall team environment
- Ability to work independently and use critical thinking
- Detailed knowledge of pay reimbursement methodology for
Desired Qualifications
- High School Diploma or higher preferred
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