Medical Claims (Billing) Team Leader

GT Independence, LLC; Silver Spring (MD); Hybrid; USD 60,000 - 65,000; Full time

Job summary

GT Independence, LLC is seeking a seasoned Claims Team Leader to supervise a team of claims specialists and oversee the submission of claims data and payments. This role drives performance, ensures timely resolution of issues, and collaborates with multiple agencies and internal departments.

The position emphasizes leadership, training, and developing efficient claims procedures while maintaining accuracy in A/R reporting and coordination with the Claims Manager.

Qualifications

• 2 years of experience relevant to the work performed.
• High School Diploma or GED required; Associate degree preferred.
• Strong ability to lead and mentor multiple team members.

Responsibilities

• Be the point person for questions from your team members. Coordinate answers with agencies and/or internal departments including Operations.
• Sign off/approve credit memos and employee receivables.
• Assist with administrative accounting procedures per Controller/CFO.
• Audit team performance, monitor team metrics and manage claims process.
• Train new employees and existing employees in department procedures and agency requirements.
• Assist in developing claims procedures for all new agencies prior to transitioning to Claims Specialist.
• Prepare A/R reports for your team's agencies to monitor unpaid claims. Work with team members and agencies to collect outstanding payments.
• Communicate with Claims Manager including but not limited to: training issues, agency challenges, unbilled items and A/R issues.

Skills

Team leadership

Mentoring

Communication

Education

High School Diploma or GED

Associate degree preferred

Job description

• Pay or shift range: $60,000 USD to $65,000 USD
  The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.

Description

GT Independence is a family-founded, leading national Financial Management Services (FMS) provider that supports individuals participating in self-direction programs, helping them manage their long-term care and support services at home and in community-based settings. Dedicated to promoting personal choice, independence, and quality of life, GT Independence delivers reliable, person-centered financial and administrative services that empower individuals to direct their own care. With a growing national presence, the organization continues to expand its impact through innovation, service excellence, and a strong commitment to the people and communities it serves.

The Claims Team Leader is responsible for the supervision, training and development of a team of claims specialists. The Claims Team Leader manages the submission of claims data, payments and works with team members and agencies to resolve outstanding claim issues.

Responsibilities

• Be the point person for questions from your team members. Coordinate answers with agencies and/or internal departments including Operations.
• Sign off/approve credit memos and employee receivables.
• Assist with administrative accounting procedures per Controller/CFO.
• Audit team performance, monitor team metrics and manage claims process.
• Train new employees and existing employees in department procedures and agency requirements.
• Assist in developing claims procedures for all new agencies prior to transitioning to Claims Specialist.
• Prepare A/R reports for your team's agencies to monitor unpaid claims. Work with team members and agencies to collect outstanding payments.
• Communicate with Claims Manager including but not limited to: training issues, agency challenges, unbilled items and A/R issues.

Qualifications

• 2 years of experience relevant to the work performed
• High School Diploma or GED required;Associate degree preferred
• Strong ability to lead and mentor multiple team members

As an organization focused on helping both the people we serve and our employees succeed, we foster a culture where individuals can grow, thrive, and make a meaningful difference every day.

Join us in our mission: "To help people live a life of their choosing regardless of age or ability."

Equal Opportunity Employer
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