81 team lead jobs found in Fort Worth

The Data Entry Team Lead provides assistance and support for a team of Data Entry Analysts that input / duplicate medical bill information or breakdown itemization charges into a database in a timely and accurate manner while meeting production volume expectations.  The Data Entry Team Lead is responsible for assisting and supporting their direct supervisor, helping to ensure the team meets protocol as well as performing supervisor duties if and when the supervisor is out. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Serves as primary point of contact for Data Entry Team to handle escalations and questions May train and coach employees on existing and new processes Serves as a backup to the Data Entry Supervisor Responsible for itemized data input of medical bill charges into database Conducts detailed review by validating patient and provider information, including dates of service, bill amount and itemized bill details; verifying the...

The Itemization Review Team Lead provides support for the Itemization Review Supervisor while working with IBR team and CERIS internal departments.  This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Maintains Q&A support for the IBR Team Effectively works with coordinator and internal departments for consistency and accuracy of departmental processing needs Collects supporting data and analyzes information to make decisions regarding accuracy of billing Appropriately documents work and final conclusions in designated computer program Meets department's expectations and standards  Additional duties as assigned   KNOWLEDGE & SKILLS: Understanding of Itemization Review for designated clients Understanding of CERIS systems and Data Base informatics Understanding of HIPAA regulations Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly Demonstrated leadership skills;...

The Itemization Review Team Lead provides support for the Itemization Review Supervisor while working with IBR team and CERIS internal departments.    ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Maintains Q&A support for the IBR Team Effectively works with coordinator and internal departments for consistency and accuracy of departmental processing needs Collects supporting data and analyzes information to make decisions regarding accuracy of billing Appropriately documents work and final conclusions in designated computer program Meets department's expectations and standards  Additional duties as assigned   KNOWLEDGE & SKILLS: Understanding of Itemization Review for designated clients Understanding of CERIS systems and Data Base informatics Understanding of HIPAA regulations Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly Demonstrated leadership skills; ability to work with...

The Closing Team Lead is responsible for monitoring and tracking all closing processes. This role runs queries, maintains reports, and supports the trainers while keeping up with the training material. The Closing Team Lead may assist supervisors with additional projects/tasks. This is a remote position.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Run queries to collate data; maintain reports and Excel spreadsheets as needed Monitor and track completion of files and special tasks Oversee the training for all new Closing Analysts Responsible for keeping training material up to date Assist Team of Closing Analysts with questions and escalations Required to close files when needed Serve as a final Quality Control for Closing Analyst files as needed Track analyst errors and create coaching measures Lead meetings and conduct presentations as needed Additional duties as assigned   KNOWLEDGE & SKILLS:...

The Correspondence Team Lead is responsible for monitoring and tracking all processes pertaining to the Correspondence Team. The Team Lead runs   queries   and maintains reports, as well as trains new employees and keeps up with the correspondence training material. This role may assist the supervisor with additional projects/tasks. This is a remote position.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES:  Creates   and   maintains reports in worksheets and formulas in Excel Runs   queries to collate data Merges documents from different operating sources, utilizing Microsoft Word Mail Merge Compiles specific supporting documents to send with correspondence Monitors and tracks completion of all processes Responsible for training all new analysts Responsible for keeping training material up to date Tracks analyst errors and creates   coaching   measures Additional duties as assigned   KNOWLEDGE & SKILLS: Knowledge of HIPAA regulations...

The Appeals Team Lead assists injured workers, claims examiners, attorneys, providers, etc. in locating providers within the medical provider network (MPN), verifying provider inclusion in an MPN and scheduling appointments upon request for the injured worker. This position includes a moderate volume of inbound calls and a high volume of outbound calls. This role is responsible for documenting bill review errors to improve team error rate trend. The Provider Relations Specialist acts as a positive and professional representative of our CorVel family. The role ensures compliance with company best practice standards while also enabling a consistent, timely delivery of our quality services. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receive incoming calls, emails and faxes from the Medical Access Assistant line Communicate clearly and professionally with providers and other stakeholders via phone and email Provide excellent customer service...

Higginbotham , a privately held, independent insurance and financial services firm that ranks within the top 20 nationwide, has an opening for an Employee Benefits Regional Team Leader for our North Texas region. The Employee Benefits Regional Team Leader is responsible for assisting in workflow strategy development, deployment and training, collaborating with Producers to oversee assigned team including workflows, workload, adherence to agency policies and procedures; also responsible for conflict resolution, performance reviews, expense management and salary administration for assigned team. Essential Tasks: Overall management and support of team and Office Advocates, if applicable Interview and evaluate prospective team members Coordinate training and guidance regarding department procedures Assist in needs assessment and training where needed Assist with back up, when necessary Participate in disciplinary and termination issues Assist with...

The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders.  This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations and communicates claim status to to referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Maintain HIPAA compliance Additional duties as assigned   KNOWLEDGE & SKILLS: Ability to learn rapidly to develop knowledge and understanding of claims practices Strong organizational skills Ability to meet or...

Why GM Financial?   GM Financial is the wholly owned captive finance subsidiary of General Motors and is headquartered in Fort Worth, U.S. We are a global provider of auto finance solutions, with operations in North America, South America, and the Asia Pacific region. Through our long-standing relationships with auto dealers, we offer attractive retail financing and lease programs to meet the needs of each customer. We also offer commercial lending products to dealers to help them finance and grow their businesses.   At GM Financial, our team members define and shape our culture — an environment that welcomes new ideas, fosters integrity, and creates a sense of community and belonging. Here we do more than work — we thrive.   Our Purpose:  We pioneer the innovations that move and connect people to what matters   This position will be posted until filled. About the role: The Risk Analyst II – Portfolio Forecasting is responsible for assisting in the design,...

The Data Capture CERIS Operations Supervisor is responsible for managing daily production for the department, which may include one or more of the following functions:  human resources, customer service, and promoting positive mentorship for the team.   This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for directing a designated group of employees in their day-to-day operations Accountable for maintaining highest quality of service Handle human resources matters directly related to employees supervised Maintain employee confidence and protect operations by keeping sensitive information confidential May be required to travel overnight to attend meetings May perform daily, weekly and monthly reviews of various reports, invoices, logs and expenses Approve Electronic time cards for employees Assist Manager in establishing employee schedules  Oversee quality control and tracking or error rates Maintaining HIPAA compliance in...

Why GM Financial? GM Financial is set to change the auto finance industry and is leading the path with embarking on tech modernization – we have a startup mindset, preserve our small company culture, in a public company environment with financial stability and intense growth over a decade long history. We are data junkies and trust in data and insights to advance our business objectives.    We take our goal of zero emission, zero collision, zero congestion and zero friction very seriously. We believe as the auto finance market leader we are in the driver seat to lead us in the GM EV mission to change the world. We are building global platforms, LATAM, Europe, China – our high performing talent needs a high performing leader. GMF is comprised of over 10,000 team members globally. Join our fin-tech culture within a Blue-Chip company where we are changing the way we use technology to support our customer and business. About the Role: The Vice President Global Real Estate and...

Why Global Procurement at GM Financial?   Do you excel at building and maintaining critical relationships, enjoy strategic sourcing, and are a successful negotiator? If so, then GM Financial Global Procurement Department is the place for you.   Global Procurement at GM Financial is a strategic, high-impact team that manages sourcing, contracts, and supplier relationships across the organization. You’ll work with advanced processes, tools, and policies to drive efficiency and innovation, while collaborating with business units and suppliers worldwide. The role offers opportunities for professional growth, leadership, and exposure to diverse procurement operations, making it an ideal environment for those seeking to deliver value and shape the company’s future.   At GM Financial, our team members define and shape our culture — an environment that welcomes new ideas, fosters integrity, and creates a sense of community and belonging. Here we do more than work — we thrive....

Why Strategic Initiatives at GM Financial?  Our team is the go-to group at General Motors Financial to investigate disruptive innovation, lead strategic planning, and evaluate new markets. We ideate, develop, and implement medium and long-term initiatives, and we advise GMF’s senior leaders in evaluating strategic choices to pioneer innovations that move and connect people to what matters.  We lead high-visibility projects by giving clarity and structure to ambiguous problems. Our strength lies in putting our curiosity into action, and we are looking for individuals who share our commitment to continuous learning.  If you thrive in an environment that encourages creative problem solving and employs disciplined analysis, join the Corporate Strategy Office’s Strategic Initiatives.  The Strategic Initiatives Analyst I will support the development and deployment of GM Financial's strategic planning framework. The framework assists leadership in understanding...

Why Risk Management – Portfolio Analytics at GM Financial? The Risk Management - Portfolio Analytics team at GM Financial is primarily responsible for analyzing and forecasting credit performance for the Global Consumer and Commercial portfolios. Team members develop and maintain analytical tools and forecast models to support various departments throughout the company, and the Executive Team. This group has high visibility with many other teams and senior leaders. Accuracy, attention to detail, working with complex data sets, and the ability to communicate results clearly are crucial in this team.   About the role: Assist in the design, development, and maintenance of sophisticated statistical forecasting models and analytical tools Utilize data mining and advanced spreadsheet/technical skills to participate in complex forecasting, modeling, analysis, and reporting related to factors that affect portfolio performance Employ best practices of data analysis and model...

Higginbotham , a privately held, independent insurance and financial services firm that ranks within the top 20 nationwide, has an immediate opening for an Employee Benefits Strategic Account Executive for our Fort Worth, TX office.  The  Employee Benefits Strategic Account Executive  serves as the strategic leader or member of the client management team for the most complex benefit accounts, and is responsible for client satisfaction, strategic planning, and quality assurance. Position Summary: The Account Executive serves as the strategic leader or member of the client management team for the most complex benefit accounts and is responsible for client satisfaction, strategic planning, and quality assurance. Essential Tasks: Manage a complex book of business comprised of clients with various funding methods, advanced contract features and structures that require a higher level of expertise. Provide strong insurance technical expertise to clients and members...

The Payment Integrity Analyst is responsible for accurately reviewing and completing pre- and post pay claim audits based on client, policy, industry standards and/or CMS guidelines.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Reviews, analyzes, and completes internal audits and/or appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication Use clinical judgement to appropriately interpret and apply client policies along with CMS guidelines as it relates to reviews done by CERIS such as itemized bill, DRG and/or specialty audits Utilize applicable tools and resources to complete internal audits and/or appeals Timely completion of internal audits and/or appeals Attends clinical team meetings, company meetings, educational opportunities/trainings, and other meetings Additional duties as assigned   KNOWLEDGE & SKILLS: Ability to use clinical judgment and analytical skills for...

The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders.  This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations and communicates claim status to to referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Maintain HIPAA compliance Additional duties as assigned   KNOWLEDGE & SKILLS: Ability to learn rapidly to develop knowledge and understanding of claims practices Strong organizational skills Ability to meet or...

The Payment Integrity Supervisor is responsible for the daily activities of payment integrity team related to quality assurance and provider appeals. The Supervisor manages and prioritizes staff daily work assignments necessary to ensure the timely and accurate processing of internal and external requests, interdepartmental quality audits and appeals. Additionally, the supervisor works to reduce response timeframes and mitigate future inquiries or escalations by being proactive, taking ownership of challenges, and formulating solutions to improve overall department activities while maintaining a focus on improving how we deliver service to our customers.  This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Supervises all daily activities of payment integrity team related to quality assurance and provider appeals Ability to assist team with problem-solving, payer policy and clinical questions regarding audits performed by CERIS Ability to...

Position Summary:   The Senior Legal Counsel serves as a senior member of the Legal and Compliance team, providing strategic legal advice, managing significant legal risks and supporting the General Counsel in overseeing the department's operations. This role involves high-level counsel to executive leadership and cross-functional stakeholders on a wide range of corporate, commercial, compliance and risk-related issues to advance business objectives while protecting the organization. Essential Tasks: Corporate Governance: Coordinate meetings of directors/managers of various business units, including scheduling, preparing agendas and related materials and maintaining records of meetings. Provide guidance on board-related matters, including the development and composition of committees, as appropriate.  In conjunction with the General Counsel, formulate and memorialize required agreements and procedures related to intercompany transactions. Contract Drafting, Review, and...

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will determine correct DRG/coding as defined by review methodologies specific to the type of review. This involves completing medical record reviews, accurately documenting findings and non-findings and providing clinical/policy/regulatory support for the determination. This role will utilize their experience with ICD-10-CM & PCS coding guidelines, the ability to understand modern pharmacology, disease management and clinical intervention procedures. The ideal DRG Clinical Auditor candidate has strong written and verbal communication skills, clinical knowledge of disease processes, and knowledge of medical necessity rules. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: The Clinical Auditor will review medical records to determine accuracy of billing through...