Team Lead for Insurance Verification

Job Summary

Seeking a full-time remote Team Lead for Insurance Verification, this role will manage and motivate follow-up specialists to ensure efficient insurance verification and prior authorization processes while maintaining a positive team environment.

Key responsibilities:

• Review self-pay accounts to verify insurance coverage and analyze unpaid claims
• Contact insurance carriers for claim status, gather documentation, and submit appeals as necessary
• Monitor open claims and ensure compliance with information security policies

Required qualifications:

• 7+ years of experience in insurance follow-up and denials management in a facility setting
• Knowledge of UB04/CMS 1450 and CMS 1500 claim forms, EDI, HCPCS, ICD-9/ICD-10, and CPT
• Understanding of billing instructions and procedures for various payer sources
• High school diploma or college degree from an accredited institution
• Effective organizational skills and ability to adapt in a fast-paced environment