Supervise team members, providing regular one-on-one sessions and coaching.
Lead interviews and hiring for Account Resolution Specialists and Team Leads.
Ensure team members consistently comply with HIPAA, state, and federal laws and guidelines.
Provide training, mentorship, and onboarding for new and existing staff on client and Currance workflows.
Monitor productivity standards and quality, ensuring all team members meet expectations.
Review weekly quality audits with staff, provide feedback, and deliver targeted coaching.
Assess team member performance daily and provide coaching if key metrics are not achieved.
Escalate employee deficiencies to management if coaching does not result in improvement.
Communicate team and individual progress with the Operations Manager.
Administer disciplinary actions and implement Employee Success Plans as needed.
Promote a positive work environment and encourage teamwork.
Review and approve team payroll for accuracy and timeliness.
Complete performance evaluations for all direct reports.
Analyze and review claim errors and rejections to identify trends and improvements.
Stay current with payer updates and communicate changes to the team.
Ensure adjustments are accurate and comply with client policies and procedures.
Identify payer-specific issues and communicate them to the team and manager.
Lead and participate in daily shift briefings to set expectations and share updates.
Investigate problem accounts as identified.
Escalate unresolved client IPO issues to management.
Train all new hires on both client and Currance workflows.
Collaborate with management to develop policies.
Participate in limited travel as required.
Attend client payor or internal meetings as requested.
Complete all assigned projects in a timely manner and perform additional duties as needed.
Requirements
High school diploma or equivalent required; Associate's degree preferred.
Bachelor’s degree in healthcare management or a related field is preferred.
CRCR certification required or must be obtained within 90 days of hire.
At least 2 years in a supervisory or leadership role.
At least 3 years of experience securing medical claim payments from health insurance companies, including managing claim follow-up and appeals with healthcare vendors or providers.
Proven experience with complex insurance claims, high-value denials, and escalation strategies to secure payment.
A minimum of 3 years’ experience with Artiva for account resolution workflows is preferred.
Experience with EMR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or similar platforms for billing and account resolution.
Proficiency in Microsoft Office Suite, Teams, and various desktop applications.
Benefits
paid time off
401(k) plan
health insurance (medical, dental, and vision)
life insurance
paid holidays
training and development opportunities
a focus on wellness and support for work-life balance