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
- Compliance by integrating compliance messages into routine huddles
- Commitment to continual improvement
- Teamwork encouragement