Manager, Appeal Shipment Teams
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Job Description
Manager overseeing Appeals Shipment Teams to enhance quality assurance and communication. Focusing on multi-payer operations and process improvement within the revenue cycle.
Responsibilities:
- 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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