Client Services Lead – Appeals & Operations

Socket.dev; Pennsylvania; On-site; USD 65,000 - 90,000; Full time

Job summary

CorroHealth is seeking a Senior Client Service Coordinator to lead complex client service issue resolution within the Client Services team, focusing on UM Appeals. You will mentor teammates, analyze performance, and drive improvements in service delivery while ensuring adherence to policies and HIPAA standards.

The role emphasizes SME knowledge of UM Appeals, strong communication, and collaboration with cross-functional teams to achieve optimal client outcomes in a fast-paced environment.

Qualifications

• High School Diploma or equivalent required.
• Bachelor’s degree strongly preferred.
• Client Services experience required.
• 1-2 years in healthcare appeals workflows, including managing appeal submissions, interpreting payer-specific requirements, and an understanding of timely filing guidelines.
• Knowledge of healthcare revenue cycle operations, including prior authorization, denials management, and appeals resolution.
• Prior experience accessing hospital EMRs and payer portals strongly preferred.
• Experience with Salesforce preferred.
• Experience as a Business Analyst or Project Management preferred.
• Proficiency in MS Outlook, PowerPoint, Word, and Excel.
• Demonstrated ability to communicate clearly and professionally.
• Experience collaborating with Strategic Advisors and cross-functional teams (technical, operational, and client-facing) to resolve escalated issues and communicate outcomes.
• Familiarity with HIPAA and healthcare compliance standards in client communications and documentation

Responsibilities

• Lead resolution of complex client service issues, acting as the first escalation point and ensuring timely follow-up, especially for high-volume areas such as UM Appeals.
• Serve as a subject matter expert in UM Appeals and other key operational workflows, with deep understanding of payer-specific requirements, timely filing guidelines, and documentation standards.
• Monitor and analyze operational performance, identifying trends and opportunities for improvement, and delivering actionable insights to enhance service delivery and client satisfaction.
• Develop and maintain training resources, including SOPs and best practices, while mentoring and onboarding new team members.
• Collaborate with Strategic Advisors, technical teams, and operational stakeholders to resolve escalated issues, support strategic initiatives, and improve client outcomes.
• Perform additional duties as assigned that align with departmental and company growth initiatives.

Skills

Interpersonal skills

Computer proficient

Initiative & accountability

Independent worker

Organizational skills

Attention to detail

Multi-tasking

Written & verbal communication

Customer-focused

Adaptable

Critical thinking

Cross-functional collaboration

HIPAA confidentiality

Education

High School Diploma or equivalent

Bachelor’s degree strongly preferred

Tools

Salesforce

EMR systems

MS Office Suite

Job description

CorroHealth is seeking a Senior Client Service Coordinator to lead complex client service issue resolution within the Client Services team, focusing on UM Appeals. You will mentor teammates, analyze performance, and drive improvements in service delivery while ensuring adherence to policies and HIPAA standards.

The role emphasizes SME knowledge of UM Appeals, strong communication, and collaboration with cross-functional teams to achieve optimal client outcomes in a fast-paced environment.