Manager of Complex Claims

Job Summary

Leading daily operations for assigned Complex Claims teams, the full-time Manager of Complex Claims will drive operational excellence, revenue recovery, and client satisfaction while working remotely.

Key responsibilities

• Manage and coach supervisors and team members to achieve productivity, quality, and revenue goals
• Utilize analytics and performance trends to enhance productivity, compliance, and net revenue outcomes
• Collaborate with client leadership to assess operational and financial results and implement change initiatives

Required qualifications

• Bachelor's degree or equivalent combination of education, training, and relevant experience
• 5-8 years of revenue cycle experience, preferably in complex claims, collections, or reimbursement operations
• 2+ years of supervisory or people leadership experience
• Experience with analytics and reporting tools such as Power BI
• Strong knowledge of payer processing, reimbursement methodologies, and claims resolution strategies