Team Lead, Claims jobs in United States
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UST · 15 hours ago

Team Lead, Claims

UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. The Claims Team Lead is responsible for managing a team of claims examiners, ensuring adherence to client guidelines, and overseeing productivity and procedural accuracy standards.

ConsultingInformation ServicesInformation Technology
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H1B Sponsor Likelynote

Responsibilities

Be responsible for directly managing a staff of typically 12 - 15 associates
Be responsible for knowing and meeting client-specified guidelines
Be responsible for monitoring and management of the downline staff s productivity targets and financial and procedural accuracy standards as established by management
Collaborate on special projects as assigned by the manager; special projects can include process documentation development, training, quality audits, assisting with surge activity for the client(s), or any other project as determined by management
Establish and maintain an appropriate level of communication with management to address issues and concerns and take preventive measures that ensure processing accuracy and quality
Assemble and assign projects that may include provider data, authorizations, enrolment, or other information

Qualification

Claims managementHealthcare claims processingICD-10HCPCS codingMicrosoft ExcelMedical terminologyHospital codingCommunication skillsTeam collaborationWork ethic

Required

5+ years healthcare claims processing experience HRP
Solid understanding and ability to effectively lead a claims team
Good communication skills (verbal and written)
Microsoft application experience, especially Excel is suggested
ICD-10 CPT and HCPCS coding is a plus
Knowledge base of physician billing and hospital coding (ICD-10, HCPC, CPT-4), medical terminology, and authorization requirements
Willingness to learn new skills
Team collaborator
Strong work ethic

Benefits

Full-time, regular employees accrue up to 16 days of paid vacation per year
Receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year)
10 paid holidays
Eligible for paid bereavement leave
Eligible to participate in the Company’s 401(k) Retirement Plan with employer matching
Eligible for medical, dental, and vision insurance
Basic life insurance
Accidental death and disability insurance
Short- and long-term disability benefits
May purchase additional voluntary short-term disability benefits
Participate in a Health Savings Account (HSA)
Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses
Potential for quarterly incentive-based bonuses and or commissions depending on role

Company

UST is a Digital Transformations Solutions Provider.

H1B Sponsorship

UST has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (870)
2024 (800)
2023 (647)
2022 (634)
2021 (612)
2020 (984)

Funding

Current Stage
Late Stage
Total Funding
$250M
Key Investors
Temasek Holdings
2018-06-27Private Equity· $250M

Leadership Team

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Krishna Sudheendra
CEO
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Alexander Varghese
Chief Administrative Officer & COO
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Company data provided by crunchbase