Appeals | Team Lead

Commure

0 - 1 years

7 - 8 Lacs

Gurugram

Posted:1 week ago| Platform:

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Skills Required

Lead and supervise a team of appeals specialists responsible for analysing AR drafting client queries conduct audits Escalations and regulations Train and coach team members and support upskilling and development Act as the point of contact for escalations

Work Mode

Work from Office

Job Type

Full Time

Job Description

Role & responsibilities

Lead and supervise a team of appeals specialists responsible for analysing, drafting, and submitting appeals for denied or underpaid claims
Monitor daily operations and ensure timely follow-up and submission of appeals in line with payer deadlines
Review complex or high-value denials and provide guidance on appeal strategy and documentation
Track and report team performance against productivity, turnaround time (TAT), and appeal success rate metrics
Collaborate with internal stakeholders (coding, billing, AR, compliance) to resolve root causes of denials and identify process improvements
Maintain up-to-date knowledge of payer-specific appeal guidelines, documentation requirements, and regulations
Train and coach team members, conduct audits, and support upskilling and development
Act as the point of contact for escalations, client queries, and coordination with external partners where required
Ensure compliance with HIPAA and internal data security policies.

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