Key skills
Leadership
About this role
Role Overview
- 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