Recovery Team Lead

4 weeks ago


Fort Worth, Texas, United States CorVel Healthcare Corporation Full time
Job Summary

We are seeking a highly skilled Recovery Team Lead to join our team at CorVel Healthcare Corporation. As a key member of our clinical operations team, you will be responsible for analyzing and monitoring claims audit data across multiple platforms. Your expertise in claims processing, ICD-10 coding, and DRG validation will enable you to effectively manage and prioritize staff daily work assignments, ensuring timely and accurate processing of internal and external requests.

Key Responsibilities:

  • Manage team performance by setting and communicating standards and deadlines, measuring results, and providing feedback.
  • Assist leadership in obtaining complex information from various financial, clinical, and operational systems and data sources.
  • Collaborate with team members to resolve customer complaints and inquiries, including bill review disputes.
  • Identify and quantify account detail or workflow processes for barriers, making process improvements or initiating courses of action for problem resolution.
  • Analyze all forms of Revenue Cycle transactions and provide trend analysis.
  • Produce daily, monthly, and annual evaluative and statistical reports, analyzing drivers of variances from period to period.

Requirements:

  • 5+ years of relevant experience in a medical or insurance field, with heavy involvement in bill review processing of claims.
  • 3+ years of previous supervisory/management or project management experience.
  • Strong understanding of healthcare revenue cycle and claims reimbursement.
  • Ability to work independently and use critical thinking.
  • Strong analytical and problem-solving skills.

We offer a comprehensive benefits package, including medical, dental, vision, and 401(k) matching. If you are a motivated and detail-oriented professional looking for a challenging role, please submit your application.


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