Team Lead

Driving Fair Solutions in Healthcare Reimbursement

In the intricate world of healthcare reimbursements, our client stands as a trusted navigator for out-of-network providers. With unmatched expertise in revenue cycle management and independent dispute resolution, they transform billing uncertainties into predictable results. Their mastery of the No Surprises Act and balance billing laws ensures fair, timely outcomes. Backed by advanced technology and decades of experience, our client drives innovation that empowers providers and reshapes the future of healthcare revenue recovery.

What the Role is About

Be part of our client's team as a Team Lead and guide a skilled arbitration unit toward excellence. You will oversee daily operations, mentor team members, ensure quality and compliance, and collaborate with stakeholders to drive performance improvements.

The Role at a Glance

Employment type: Full-time

Shift: Night Shift

Work setup: Onsite, Makati

Perks You'll Love

• Day 1 HMO coverage with free dependent
• Competitive Salary Package
• Prime office location in Makati (Easy access to MRT stations, restaurants, and banks)
• Salary Advance Program through our banking partner (Eligibility and approval subject to bank assessment. Available to account holders with minimum of 6 months company tenure.)
• Unlimited upskilling through Emapta Academy courses (Want to know more? Visit )
• Free 24/7 access to our office gyms (Ortigas and Makati) with a free physical fitness trainer
• Exclusive Emapta Lifestyle perks (hotel and restaurant discounts, and more)
• Unlimited opportunities for employee referral incentives across the organization
• Standard government and Emapta benefits
• Total of 20 annual leaves to be used on your own discretion (including 5 credits convertible to cash)
• Fun engagement activities for employees
• Mentorship and exposure to global leaders and teams
• Career growth opportunities
• Diverse and supportive work environment

What You'll Bring to the Team

Education and Experience

• High school diploma or equivalent
• Minimum of 2 years of experience in Revenue Cycle Management
• IDR experience preferred
• Leadership experience preferred

Skills and Knowledge

• Strong organizational, analytical, and problem-solving skills
• Knowledge of the insurance industry, IDR processes, and medical terminology
• Proficiency in MS Office applications (Word, Excel, Access, Outlook, PowerBI)
• Familiarity with CPT and ICD-10 coding
• Understanding of legal and regulatory provisions, including HIPAA laws

Other Requirements

• Professional appearance and demeanor
• Consistent attendance and punctuality

Physical and Mental Demands

• Ability to sit for long hours and use office equipment and computers
• Ability to perform light lifting of up to 20 pounds
• Ability to reach, stoop, stand, and walk occasionally
• Strong communication, analytical, and coordination abilities

How You'll Make an Impact

• Analyze workflow reports to determine cases eligible for the IDR process
• Identify trends by arbitrator or health plan
• Detect system errors and prepare reports for leadership evaluation
• Re-prioritize key tasks and provide updates to upper management
• Collaborate with external vendors, including State Department of Insurance personnel and arbitrators, to resolve issues
• Complete special projects and other duties as assigned
• Maintain strong organizational, analytical, and problem-solving skills
• Demonstrate professionalism in all internal and external interactions
• Communicate clearly, both verbally and in writing
• Motivate and train employees to achieve high productivity standards
• Develop strategies to help the team meet and exceed project goals
• Assign tasks, monitor progress, and ensure project timelines are met
• Manage daily operations to keep the team within KPI standards
• Apply knowledge of medical terminology and insurance industry practices

Welcome to Emapta Philippines

Join a team that values camaraderie, excellence, and growth. Recognized as one of the Top 20 Dream Companies of Filipinos in 2024, Emapta stands proudly alongside industry giants, offering stability and exciting career opportunities. Your career flourishes here with competitive compensation, international clients, and a work culture focused on collaboration and innovation. Work with global clients across industries, supported by a stable foundation and like-minded professionals passionate about making an impact. We empower your success with opportunities for personal and professional development in an inclusive environment. Apply now and be part of the #EmaptaEra