Resolution Team Lead - Drive Efficient Claims & Revenue

MedRisk; King of Prussia (PA); Vor Ort; USD 85.000 - 120.000; Vollzeit

Zusammenfassung

MedRisk is seeking a Team Lead, Resolution Services to guide the Resolution Team, ensuring client/provider SLAs, TATs, and quality standards are met. The role drives operational excellence, tracks performance trends, and leads process improvements to boost efficiency and revenue outcomes.

The position emphasizes leadership, coaching, and cross-functional collaboration to deliver high-quality support to stakeholders while adhering to HIPAA and company policies.

Qualifikationen

• 1-year related experience
• Strong leadership and coaching skills
• Flexibility to manage multiple high priority tasks
• Supporting and developing projects that impact the department and the business
• Solid communication skills
• Proficiency with MS Office Products, advanced Excel knowledge required
• Analytical and results driven
• Medical billing experience preferred
• Understanding of HIPAA policies and procedures

Aufgaben

• Lead and support a team of Resolution Analysts responsible for researching, analyzing, and resolving claim-related issues to ensure timely and accurate processing.
• Monitor team performance to ensure compliance with established client and provider turnaround times (TATs), service level agreements (SLAs), and quality standards, proactively communicating any risks or delays.
• Serve as a liaison between team members, leadership, and cross-functional departments to facilitate effective communication and collaboration.
• Support the performance management process by monitoring attendance, productivity, and adherence to departmental expectations, communicating concerns and trends to leadership.
• Ensure analysts maintain professional, accurate, and client-focused communications with internal and external stakeholders.
• Assist in the onboarding, training, coaching, and development of new and existing team members to promote engagement, knowledge growth, and performance excellence.
• Develop, maintain, and document workflows, procedures, and resolution processes to ensure consistency and operational effectiveness.
• Analyze daily, weekly, and monthly operational reports to identify trends, risks, and opportunities for process improvement, escalating findings and recommendations as needed.
• Drive continuous improvement initiatives that enhance workflow efficiency, service delivery, and revenue outcomes.
• Demonstrate sound judgment, critical thinking, and the ability to effectively prioritize work in a fast-paced environment with minimal supervision.
• Participate in departmental meetings, training sessions, and professional development opportunities as assigned.
• Ensure compliance with HIPAA requirements and company policies by maintaining the confidentiality and security of all patient and business information.
• Perform other duties and special projects as assigned.

Kenntnisse

Leadership

Coaching

Communication

Analytical

HIPAA knowledge

Medical billing

Tools

MS Office

Excel

Jobbeschreibung

MedRisk is seeking a Team Lead, Resolution Services to guide the Resolution Team, ensuring client/provider SLAs, TATs, and quality standards are met. The role drives operational excellence, tracks performance trends, and leads process improvements to boost efficiency and revenue outcomes.

The position emphasizes leadership, coaching, and cross-functional collaboration to deliver high-quality support to stakeholders while adhering to HIPAA and company policies.