Claims Team Lead

HealthEdge

. Directly manage a staff of typically 12–15 associates .

Posted 10/8/2026full-timeRemote • United StatesSenior💰 $44,000 - $50,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in healthcare claims processing, with a strong ability to lead teams and ensure operational excellence. Proficient in managing productivity targets, financial accuracy, and quality standards while fostering collaboration and communication within the team.

Highest-signal resume keywords

Healthcare Claims Processing ExperienceTeam LeadershipICD-10, CPT, HCPCS Coding KnowledgeMicrosoft Excel ProficiencyProcess Documentation

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Healthcare Claims ProcessingICD-10 CodingCPT CodingHCPCS CodingMedical TerminologyAuthorization Requirements

Soft Skills

Verbal CommunicationWritten CommunicationTeam CollaborationAdaptabilityDependability

Tools & Technologies

Microsoft ApplicationsExcel

Industry Keywords

Claims OperationService Level AgreementsKPI ManagementProvider Data ManagementQuality Audits

About the role

Key responsibilities & impact

Directly manage a staff of typically 12–15 associates
Know and meet client-specified guidelines
Monitor and manage downline staff productivity targets and financial and procedural accuracy standards
Collaborate on manager-assigned special projects, including process documentation, training, quality audits, and surge activity support
Maintain communication with management to address issues, concerns, and preventive measures ensuring processing accuracy and quality
Assemble and assign projects involving provider data, authorizations, enrollment, or other information
Deliver a high-quality claims operation while meeting or exceeding service level agreements and KPIs
Drive operational excellence and build competencies for delivery
Perform other duties assigned by leadership

Requirements

What you’ll need

5+ years healthcare claims processing experience
Solid understanding and ability to effectively lead a claims team
Good verbal and written communication skills
Microsoft application experience, especially Excel suggested
ICD-10, CPT, and HCPCS coding is a plus
Knowledge of physician billing and hospital coding (ICD-10, HCPC, CPT-4)
Knowledge of medical terminology and authorization requirements
Willingness to learn new skills
Team collaboration
Strong work ethic
Ability to adapt quickly to a fast-paced environment
Self-starter and quick learner
Ability to collaborate as a team player
Ability to coach the team to reach its full potential
Dependability and ability to work independently
May be required to undergo a pre-employment criminal background check

Benefits

Comp & perks

Remote work environment
Work across multiple time zones
May require travel dependent on company needs
Reasonable accommodations for individuals with disabilities
Equal opportunity and workforce diversity commitment