Medical Claims Team Lead — Mentoring & Process Optimization

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

Job summary

GT Independence in Silver Spring, MD is seeking a Claims Team Leader to supervise, train and develop a team of claims specialists. You’ll manage claim submissions, payments, and coordinate with agencies to resolve issues, while tracking performance and mentoring staff.

Required are at least 2 years of experience, with a High School Diploma or GED (associate degree preferred). This is a hands-on leadership role in a growing national FMS provider.

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

Leadership

Team mentoring

Claims processing

Communication

Education

High School Diploma or GED

Associate degree preferred

Job description

GT Independence in Silver Spring, MD is seeking a Claims Team Leader to supervise, train and develop a team of claims specialists. You’ll manage claim submissions, payments, and coordinate with agencies to resolve issues, while tracking performance and mentoring staff.

Required are at least 2 years of experience, with a High School Diploma or GED (associate degree preferred). This is a hands-on leadership role in a growing national FMS provider.