Claims Investigation and Resolution Team Leader

3 days ago

Quezon City, National Capital Region, Philippines R1 RCM PHILIPPINES, INC. Full time ₱480,000 - ₱960,000 per year

R1 RCM Philippines, INC. is looking for a Claims Investigation and Resolution Team Leader to help manage the team to resolve issues related to health insurance claims and payments.

Key Responsibilities:

  • Managing the day-to-day activities of the team.
  • Motivating the team to achieve organizational goals.
  • Developing and implementing a timeline to achieve targets.
  • Delegating tasks to team members
  • Conducting training of team members to maximize their potential
  • Empowering team members with skills to improve their confidence, product knowledge, and communication skills.
  • Conducting quarterly performance reviews.
  • Contributing to the growth of the company through a successful team.
  • Create a pleasant working environment that inspires the team

Qualifications:

  • At least 2 years of experience as a Team Lead in healthcare claims processing or claims analysis, Claims Denials and Appeals, Claims follow-up up or end-to-end Claims within a BPO environment.
  • Excellent leadership and management skills
  • Knowledge of healthcare claim types and payer requirements is an advantage.
  • Should have familiarity with healthcare industry standards (HIPAA, CMS, etc.).
  • Experience with claims management software and electronic claim submission platforms.
  • Excellent written and verbal communication skills.
  • Ability to work independently and within a team in a fast-paced environment.
  • Able to work onsite and on rotating shifts.

    With good analytical, problem-solving solving and critical thinking skills.
  • Amenable to work onsite (Quezon City) and on night shift.

Benefits

  • Competitive Total Rewards Package
  • Medical Plan (HMO) from Day 1 of employment with free dependents
  • Paid Time-Off Benefits

#R1Philippines #AlltogetherBetter #R1JoinTheJourney


NOTICE: Please be informed that NO candidate seeking a job opportunity with R1 Philippines shall be required to pay any amount as a condition for employment at R1.

R1 does not authorize any third party, agency, company or individual to collect money or request any monetary arrangement in order to receive a job at R1.

If you are contacted by someone asking for payment, please do not respond, and contact us at PH HR - Talent Acquisition  or report to our Ethics Point Hotline, by phone or online access   Philippines: or contact immediately.

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