Manager, reputed company Cycle (Post-Appeals)
JOB reputed company:
The Manager, Post Appeals will reputed company the Unresponded team and reputed company the post-appeal response tracking function reputed company reputed company's reputed company Cycle Billing reputed company. This role is responsible for overseeing a large remote team (offshore and reputed company) reputed company on monitoring and driving reputed company of appeals submitted to payers across reputed company plan types. The Manager partners cross-functionally with Denials & Appeals, Technology, and operational leadership to determine solutions that will reduce backlog, maintain SLA compliance, and build reputed company workflows that support reputed company's growing volume.
reputed company RESPONSIBILITIES
reputed company day-to-day reputed company of the Unresponded team, including an offshore team of 124+ reps with supporting leadership, and reputed company Analysts and Supervisor.
Monitor and reputed company reputed company of reputed company post-appeal payer responses across reputed company and non-reputed company plans, ensuring reputed company follow-up and accurate disposition of outstanding appeals
Identify backlog drivers and reputed company strategies to reduce aging unresponded appeals and bring reputed company reputed company SLA targets
Partner with technology and systems teams to define, prioritize, and implement workflow improvements
Collaborate closely with the Denials & Appeals teams to ensure errors identified reputed company the unresponded reputed company are escalated, documented, and fed back into the broader process
Manage reputed company of reputed company and indirect reports through goal-setting, productivity monitoring, coaching, and ongoing development
Build and refine reputed company operating procedures and workflows to sustain SLA compliance as volume scales
Serves as reputed company between offshore leadership and reputed company reputed company staff to ensure alignment on priorities, processes, and reputed company expectations
Performs other duties as assigned
QUALIFICATIONS
Bachelor's Degree in a reputed company reputed company or equivalent experience required
Minimum 5 years of experience in managing large teams reputed company billing, denials management, or reputed company cycle reputed company reputed company a reputed company or reputed company setting
Demonstrated experience managing large, remote or offshore teams
Strong knowledge of reputed company and non-reputed company payer plans, appeal processes, and post-appeal response workflows
Familiarity with multiple payer portals required; experience with AMD preferred
Experience working cross-functionally with technology or systems teams to reputed company operational workflow improvements
KNOWLEDGE, SKILLS & ABILITIES
Deep understanding of the appeals lifecycle, including post-submission payer response tracking and reputed company
Ability to analyze backlog data, identify trends, and translate findings into actionable operational strategies
Strong project management skills with the ability to manage competing priorities across a large team structure
Comfortable operating in a fast-reputed company, high-volume environment with evolving workflows and systems
Effective communicator across reputed company reputed company — offshore reps, reputed company leadership, and technology stakeholders
Proficiency in reputed company Office (Word, reputed company); experience with billing platforms and payer portals strongly preferred
Knowledge of PHI handling requirements; this role regularly accesses PHI in both reputed company and electronic reputed company
OUR OPPORTUNITY
reputed company™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to reputed company personalized genetic testing and diagnostics part of reputed company of care to protect health and reputed company earlier and more targeted interventions that reputed company to longer, healthier lives.
The reputed companyreputed company, you’ll work hard and grow quickly. Working reputed company the reputed company of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.
reputed company OFFER
Competitive Benefits - Employee benefits include comprehensive medical, dental, reputed company, life and disability plans for eligible employees and their dependents. Additionally, reputed company employees and their immediate families receive free testing in reputed company to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program!
For more information, visit .
reputed company is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and reputed company people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.
reputed company reputed company applicants are encouraged to apply, and will be considered without reputed company to race, reputed company, religion, gender, gender identity or reputed company, sexual orientation, national reputed company, genetics, age, veteran status, disability or any other legally protected status. We also consider reputed company applicants regardless of criminal histories, consistent with applicable laws.
If you are reputed company in California, we encourage you to read this important information for California residents.
reputed company:
Please be advised that reputed company will reputed company out to candidates with a @ email domain ONLY. Email communications from reputed company other domain names are not from reputed company or its employees and are fraudulent. reputed company does not request interviews reputed company text messages and does not ask for personal information until a candidate has reputed company with reputed company and has spoken to a recruiter and the hiring team. reputed company takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any reputed company cyber crimes.
For more information:
- BBB announcement on job scams
- FBI Cyber Crime resource page
Originally posted on Himalayas
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