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tango · 8 hours ago

Manager, Claims Servicing

United States

Full-time

Remote

Mid, Senior Level

5+ years exp

Tango is a leader in the home health management industry and is preparing for significant growth. They are seeking a Manager, Claims Servicing to oversee daily claims servicing activities, manage inquiry resolution, and strengthen relationships with providers and external agencies.

AnalyticsHealth CareHome Health Care

Responsibilities

Oversee team of claims support representatives to ensure high quality standards meeting service levels and key performance indicators

Manage dissemination of incoming claims tickets and phone inquiries; resolve escalations and operational issues efficiently

Coordinate and facilitate agency meetings, addressing provider and partner concerns and feedback

Oversee performance of systemic tools (ticketing system, Elevate, Claim Status Check Tool etc.) to ensure transparency, capability alignment, and long-term sustainability, enabling the team to operate efficiently and effectively

Develop and deliver training on claims processes, policies, and system updates

Oversee claims reconsideration process

Oversee 835 Process

Analyze and report trends with home health agencies (HHA); identify and execute education opportunities

Maintain accurate and up-to-date documentation

Partner with Claims Operations teams to troubleshoot complex or escalated claims issues

Monitor response times and quality metrics for claims servicing; implement corrective actions as needed

Support audits and compliance reviews by providing detailed documentation and process evidence

Build and maintain positive relationships with external agencies and internal stakeholders

Qualification

Claims servicing experienceHealthcare claims knowledgeClaims systems proficiencyMicrosoft Office SuiteStakeholder communicationRelationship managementDocumentation skillsWritten communicationVerbal communicationProblem-solvingDetail-orientedOrganizational skillsTeam collaboration