Responsibilities

The Healthcare Case Manager & Billing Lead will manage healthcare accounts, ensuring seamless claims processing and authorizations, oversee accurate and timely medical billing processes including coding for services, review clinicals for case management and coordinate approvals, follow up on claims, resolve denials, and liaise with insurance providers, work closely with clinical, administrative, and financial teams to support seamless patient care and billing processes, utilize MS Office (Excel, PDF, Outlook) for reporting and documentation, ensure compliance with billing policies and healthcare regulations.