Claims Team Lead

HealthEdge

. Report to the Claims Manager .

Posted 10/9/2026full-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 and manage a team of claims examiners and adjusters. Proficient in ICD-10, CPT, and HCPCS coding, along with a solid understanding of physician billing and medical terminology.

Highest-signal resume keywords

Healthcare Claims ProcessingTeam LeadershipICD-10 CodingMicrosoft ExcelCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare Claims ProcessingICD-10 CodingCPT CodingHCPCS CodingMedical TerminologyAuthorization Requirements

Soft Skills

Team CollaborationStrong Work EthicAdaptabilityCoaching AbilityDependability

Tools & Technologies

Microsoft Excel

Industry Keywords

Claims ManagementProvider DataEnrollmentQuality AuditsProcess Documentation

About the role

Key responsibilities & impact

Report to the Claims Manager
Directly manage typically 12–15 claims examiners and adjusters
Know and meet client-specified guidelines
Monitor and manage downline staff productivity targets and financial and procedural accuracy standards
Collaborate on special projects, including process documentation, training, quality audits, and surge activity for clients
Maintain communication with management to address issues and ensure processing accuracy and quality
Assemble and assign projects involving provider data, authorizations, enrollment, or other information
Perform other duties as 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), 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 coach the team to reach their full potential
Dependability and ability to work independently
May be required to pass a pre-employment criminal background check

Benefits

Comp & perks

Remote work environment
May require travel dependent on company needs
Reasonable accommodations for individuals with disabilities
Equal opportunity employer and workforce diversity commitment