Recovery Team Lead

The Repricing Team Lead is responsible for analysis and monitoring of claims audit data across multiple platforms. The Team Lead manages and prioritizes staff daily work assignments necessary to ensure the timely and accurate processing of internal and external requests, interdepartmental quality audits and claims processing. Additionally, the supervisor works to reduce response timeframes and mitigate future inquiries or escalations by being proactive, taking ownership of challenges, and formulating solutions to improve overall department activities while maintaining a focus on improving how we deliver service to our customers. This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Manage team performance by setting and communicating standards and deadlines, measuring results, and providing feedback. Maintain positive morale by leading the team through example and accountability with a focus on helping each member achieve their best performance. Assists leadership in obtaining complex information from various financial, clinical and operational systems and data sources. Ability to assist with pricing of claims according to provider contracts. Ability to assist team with problem solving regarding customer complaints, or inquiries, including bill review disputes verbally and in written communication. Identifies, quantifies and monitors account detail or workflow processes for barriers. Makes process improvements or initiates courses of action for problem resolution. Analyzes all forms of Revenue Cycle transactions and provides trend analysis. Produces daily, monthly and annual evaluative and statistical reports, analyzing drivers of variances from period to period in order to ensure the integrity and accuracy of revenue cycle data. Evaluates integrity of client data including actively participating with and supporting the Product and Account Management teams with trend analysis of payment and data variances. Participates in the panel interviews, prepare