Claims & Coding Team Lead

Medica; Madison (WI); On-site; USD 63,000 - 108,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

PTO

Holidays

Paid volunteer time off

401K contributions

Caregiver services

Job summary

Medica in Madison, WI is seeking a Supervisor of the Coding Analysts and Claims Resolution Analysts to lead the Coding and Claim teams and drive timely issue resolution for members and providers.

You will partner with internal and external teams to guide performance, manage multiple projects, and conduct root-cause analysis to deliver high-quality service.

This is an office role requiring onsite work three days per week, with locations including Madison, Milwaukee area.

Qualifications

• Bachelor's degree or equivalent experience in related field.
• 5+ years of work experience beyond degree in coding.
• 1+ years of coding team leadership experience.

Responsibilities

• Oversee Coding and Claim teams and ensure timely issue resolution for members and providers.
• Identify coding and claim trends, root causes and engage stakeholders to resolve issues.
• Coordinate resources across departments and vendor partners to resolve operational issues.
• Monitor project status and communicate progress to providers, management and customer service operations.
• Conduct performance reviews, coaching, and staff development to improve team results.

Skills

Coding

Team leadership

Problem solving

Education

Bachelor's degree or equivalent

Tools

ePIL

Siebel/Oracle reports

IDRS

ISET

COSMOS

Health Rules

Job description

Medica in Madison, WI is seeking a Supervisor of the Coding Analysts and Claims Resolution Analysts to lead the Coding and Claim teams and drive timely issue resolution for members and providers.

You will partner with internal and external teams to guide performance, manage multiple projects, and conduct root-cause analysis to deliver high-quality service.

This is an office role requiring onsite work three days per week, with locations including Madison, Milwaukee area.