Night-Shift Clinical Denials Team Lead

TASQ Staffing Solutions; Quezon City; On-site; PHP 1,339,000 - 2,009,000; Full time

Job summary

TASQ Staffing Solutions is hiring a Team Lead – Clinical Denials to guide a team of Clinical Denials Specialists serving U.S. healthcare clients. This role oversees daily workflow, productivity, quality, and complex denial escalations.

The Team Lead acts as a subject-matter resource for medical necessity, clinical documentation, DRG, level of care, coding, reimbursement, and U.S. payer requirements. Night shift, onsite in BGC Taguig with future move to Bridgetowne, QC.

Qualifications

• Bachelor's degree in nursing, Healthcare Administration, HIM, or related field.
• Valid Philippine RN license/PRC registration for RN-required positions.
• 3–5 years in U.S. healthcare RCM, clinical denials, CDI, utilization management, claims, or appeals.
• Experience leading or mentoring healthcare teams, preferably 20+ employees.
• Strong knowledge of medical necessity, DRG, level of care, coding, reimbursement, and payer policies.
• Excellent communication, analytical, problem-solving and people-management skills.

Responsibilities

• Leads daily activities of a team of 20+ Clinical Denials Specialists.
• Assigns and prioritizes denial inventory based on complexity, aging, financial impact, and payer requirements.
• Monitors productivity, quality, turnaround time, and appeal outcomes.
• Provides coaching, mentoring, and performance feedback.
• Supports onboarding and training of team members.
• Escalates operational, clinical, payer, and client issues to management.

Skills

Team leadership

Mentoring

Communication

Problem-solving

People management

Analytical skills

Education

Bachelor's degree (nursing)

RN license / PRC

Tools

Epic

Payer portals

Job description

TASQ Staffing Solutions is hiring a Team Lead – Clinical Denials to guide a team of Clinical Denials Specialists serving U.S. healthcare clients. This role oversees daily workflow, productivity, quality, and complex denial escalations.

The Team Lead acts as a subject-matter resource for medical necessity, clinical documentation, DRG, level of care, coding, reimbursement, and U.S. payer requirements. Night shift, onsite in BGC Taguig with future move to Bridgetowne, QC.