Job Description

Responsible for managing a team of Claim Inspectors and Billing Representatives, working to ensure timely and accurate review of claim requirements through an established checklist and efficient billing management focusing on revenue collection.

Manages volume and ensures that set goals are achieved day in and day out and is also responsible for the Team’s performance and development.

JOB RESPONSIBILITIES

  • Hiring, co-training, and preparing representatives to handle claim and billing review by utilizing the available tools and following different plan guidelines of the insurance.
  • Preparing reports and analyzing data to assist management as they determine the campaign’s goals. Including daily task assignments, task rotation and movement, aged tasks monitoring and rush requests completion.
  • Identifying operational issues, including escalation of critical items to their immediate managers and onshore counterparts; Determining trends and su...

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