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Appeals and Grievances Team Lead
1 month ago
The Appeals and Grievances Supervisor plays a critical role in ensuring the efficient resolution of appeals and grievances within the Customer Solution Center. This position involves leading a team of professionals who handle the intake, research, resolution, tracking, and reporting of appeals and grievances.
Key Responsibilities:- Directly supervise and support the team in their daily activities, ensuring thorough investigations and timely resolutions.
- Lead the development and maintenance of appeal and grievance policies, procedures, and workflows.
- Collaborate with internal departments to ensure timely resolution of appeals and grievances.
- Analyze and trend appeals and grievances to identify areas for improvement.
- Develop and implement training programs to enhance team performance.
- At least 3 years of experience in a healthcare setting in grievances and appeals, compliance, claims, or call center.
- At least 2 years of supervisory or management experience.
- Ability to manage and organize large volumes of data.
- Knowledge of regulatory and accreditation entities and their requirements.
- Computer ease and literacy with Microsoft Office.
- A dynamic and inclusive work environment.
- A competitive salary range of $77,000 to $123,000.
- Opportunities for professional growth and development.
Insight Global is an equal opportunity/affirmative action employer committed to creating diverse and inclusive environments where everyone can bring their full, authentic selves to work. We believe everyone matters and welcome applications from qualified candidates regardless of their background or status.
