Manager, Appeal Shipment Teams

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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Logo of CorroHealth

CorroHealth

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

Healthcare Insurance • SaaS • Artificial Intelligence

CorroHealth is a leading provider of clinically led healthcare analytics and technology-driven solutions, focused on enhancing the financial performance of hospitals and health systems. Their integrated solutions and advanced technologies aim to optimize the entire revenue cycle, offering services such as revenue cycle management, clinical documentation, medical coding, and denials management. With a commitment to improving financial health through intelligent technology and expert guidance, CorroHealth addresses complex payer-provider relationships and supports efficient healthcare operations.

📋 Description

• Oversee (2) Supervisors and the quality assurance, documentation completeness, regulatory adherence across pre- and post- shipment workflows • Develop and refine workflows to enhance turnaround time, quality assurance, and escalation management • Oversee communications for the Appeals Pre- and Post- Shipment divisions • Serve as the key liaison between Operations, Quality, and Leadership • Partner with senior leadership to identify process improvement opportunities • Analyze root causes of resubmissions, rework, and rejected/returned appeals

🎯 Requirements

• Experience in multi-payer, multi-state appeals operations • Familiarity with Payer Portals, workflow tools, and automation initiatives • Experience implementing SOPs, QA programs, or operational transformations • Process improvement experience

🏖️ Benefits

• Health insurance • Professional development

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