Texas Appeals Team Lead

Job Summary

A company is looking for an Appeals Team Lead.

Key Responsibilities

• Assist injured workers and other stakeholders by locating and verifying providers within the medical provider network
• Document bill review errors to improve team performance and ensure compliance with best practices
• Handle inbound and outbound calls, providing excellent customer service and scheduling appointments as needed

Required Qualifications

• Associates' degree preferred or comparable experience in Workers Compensation
• Knowledge of State Workers' Compensation regulations
• CPC certification and/or expertise in bill review analysis preferred
• Call center experience is a plus but not required
• Strong knowledge of fee schedules and network contracts