Claims Resolution Manager

Job Summary

Working remotely in a full-time capacity, the Claims Resolution Manager will supervise a team of Claims Resolution Specialists, ensuring productivity standards are met while managing workflows and addressing claim-related inquiries.

Key responsibilities

• Supervise and support the CRS team, overseeing daily workflows and responding to claim-related questions
• Conduct productivity reviews, perform claim audits, and develop training needs to enhance operational efficiency
• Collaborate with management on accounts receivable strategies and manage internal tools for tracking team progress

Required qualifications

• 5+ years of experience in claims resolution or medical billing, with documented experience on the Athena billing platform
• Solid understanding of accounts receivable and revenue cycle policies and procedures
• Experience in a medical billing environment with strong compliance to HIPAA regulations
• Bachelor's degree or medical billing certificate preferred
• Proficiency in Microsoft Office Suite, particularly Excel, for data tracking and reporting