Claims Team Lead
veridaVilla Rica (GA)
About the role
Claims Team LeadThe Claims Team Lead is responsible for the reconciliation of the provider's reimbursement request forms. In addition, he/she will be responsible for maintaining all departmental filing and other duties that may be assigned.
Essential Functions:
Correlate the reimbursement request forms and resubmissions by provider per day in chronological order.
Approvals and denial for reimbursement and resubmissions.
Data entry.
Responsible for generating and distributing copies of denied reimbursement requests to providers.
Filing all reimbursement forms.
Assisting with special rates from the call center.
Relays instructions, messages and other information as requested from the management team.
Maintains a current working knowledge of all company policies, procedures, rules, regulations and memorandums.
Responsible and accountable for updating management on changes and/or extraordinary circumstances affecting the company and/or transportation provider.
Other duties as assigned by management team.
Required Skills and Abilities:
Excellent communications skills oral and written.
Able to work in a busy environment.
Able to function effectively in stressful situations.
Knowledge of reconciliation and customer service policies and procedures.
Knowledge of Medicaid Non-Emergency Transports preferred.
Able to handle multiple tasks simultaneously.
Computer experience.
Following training, able to adequately implement concepts of Route Logic.
Able to lift and/or move items up to 25 pounds.
Must be able to key 8000+ keystrokes.
Qualification: High School diploma.
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
It's what we read first. Occupations, seniority and locations matter more than a long history.
Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.
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