Texas Appeals Team Lead

Job Summary

A company is looking for an Appeals Team Lead.

Key Responsibilities

• Assist injured workers and other stakeholders in locating providers and scheduling appointments
• Document bill review errors to improve team performance and ensure compliance with best practices
• Communicate effectively with callers regarding provider networks and Workers Compensation guidelines

Required Qualifications, Training, and Education

• Associates' degree preferred or equivalent Workers Compensation experience
• Knowledge of assigned State's 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