Team Lead, Insurance Verification

Job Summary

Leading a team of follow-up specialists, the full-time remote Team Lead, Insurance Verification will guide and motivate staff in verifying insurance coverage, resolving unpaid claims, and ensuring exceptional service delivery.

Key responsibilities

• Review self-pay accounts to verify insurance coverage and resolve unpaid claims
• Contact insurance carriers for claim status and payments while submitting necessary appeals
• Monitor inventory of 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
• Complete understanding of billing instructions and procedures for various payer sources
• High school diploma or college degree from an accredited institution
• Medical terminology knowledge is required; Medi-Cal knowledge is a significant benefit