Medical Claims Team Lead - Drive Care-First Outcomes

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

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.