Manager, Itemized Bill Review – Healthcare

This is a fully remote position, open to applicants in United States.

📋 Description

• Lead the Itemized Bill Review team, overseeing production expectations, service level agreements (SLAs), client communication, and team performance.

• Analyze and monitor internal business requirements and processes through documentation and workflow assessments.

• Assess functionality across various programs to ensure effective and precise reviews.

• Collect requirements to address process-related challenges necessitating development focus.

• Oversee team assignments and collaborate with other departments to fulfill both internal and external SLAs.

• Assign tasks and supervise special projects.

• Coordinate system upgrades, including the creation of JIRA tickets, user acceptance testing (UAT), and production rollout.

• Track team performance metrics to pinpoint opportunities for growth and efficiency.

• Identify the needs of team members that require IT intervention.

• Develop and organize training materials, quality assurance processes, and workflows for dispute responses.

• Assist operations in relation to changes in organizational or client policies.

• Recognize and implement additional client savings based on evaluations and research.

• Serve as a liaison between Operations and Client Success to resolve client concerns.

• Organize and manage the onboarding process for new team members.

• Undertake other tasks as assigned.

⛳️ Requirements

• Minimum of 3 years’ experience conducting audits of itemized bills.

• At least 2 years’ experience in a leadership role.

• Demonstrated experience with healthcare industry software products and process development.

• Proven ability to manage multiple projects in a collaborative team setting.

• Extensive understanding of audit standards, policies, and regulations, including medical chart reviews.

• Strong skills in project management and interpersonal relations.

• Capacity to prioritize tasks and manage multiple responsibilities.

• Excellent verbal and written communication skills.

• Proven track record of leading high-performing, dynamic teams.

• Ability to thrive in a diverse and fast-paced work environment.

• Strong problem-solving and analytical skills, combined with effective teamwork and people management capabilities.

• Proficient in Windows office systems, including the full Microsoft Suite and Teams.

• Advanced skills in Microsoft Office, particularly Excel.

• Familiarity with various software platforms and engagement with development teams.

🏝️ Benefits

• Work remotely from anywhere within the US.

• Comprehensive Medical/Dental/Vision coverage for employees and their families.

• A flexible and trusting work environment.

• Unlimited Flexible Time Off (FTO).

• Competitive salary package.

• Equity opportunities.

• 401(k) plan with employer matching.