Workflow App Team Lead

HaloMD

Who We Are: 

HaloMD specializes in Independent Dispute Resolution (IDR) through The No Surprises Act and state regulations for out-of-network healthcare providers, leveraging advanced technology and deep industry expertise to secure optimized reimbursements.

Essential Job Duties and Responsibilities

• Analyze workflow reports to determine cases eligible for IDR Process

• Assist with identification of trends by Arbitrator/Health Plan

• Identify system errors

• Develop and organize reports into a format that can easily be evaluated by Leadership

• Ability to re-prioritize key tasks and meet with upper management to provide updates of findings and outcomes

• Work with external vendors such as State Department of Insurance (DOI) personnel and arbitrators to assist with issues and resolutions

• Complete special projects and other duties as assigned

• Strong organizational, analytical, and problem-solving skills

• Knowledge of the insurance industry

• Professionalism in all dealings, both internal and external customers

• Ability to clearly communicate, both verbally and in writing

• Strong understanding of insurance plans and policies

• Ability to motivate and train employees

• Proven ability to maintain high productivity standards

• Develop a strategy that team members can use to better reach a project goal

• Assign tasks to team members

Education & Experience

• High School Diploma or equivalent 
• Experience in AR or Insurance Collections 

Technical & Industry Knowledge

• Proficiency in Microsoft Office, especially Excel (formulas, pivot tables, filters, etc.)
• Familiarity with the insurance industry and the No Surprises Act (IDR process)
• Knowledge of CPT codes, HIPAA regulations, and communication/privacy laws
• Understanding of legal and medical terminology

Skills & Abilities

• Strong organizational, analytical, and problem-solving skills
• Ability to reconcile accounts and triage cases for procedural errors
• Prepare and submit weekly client reports
• Excellent verbal and written communication skills
• Professionalism in all interactions
• Collaborative team player

Other Requirements

• Consistent and reliable attendance
• Maintains a professional appearance
• Comfortable using a computer as the primary tool for job functions
• Performs other duties as assigned

Perks & Benefits:

• Fully Remote – Work from anywhere within the United States with reliable high-speed internet
• Multiple medical plan options
• Health Savings Account with company contributions
• Dental & vision coverage for you and your dependents
• 401k with Company match
• Vacation, sick time & Company paid holidays
• Company wellbeing program with health insurance incentives

What’s Next?

If you’re ready to bring your skills and passion to our growing team, we want to hear from you! Apply today and help us create a future where success is the standard. #IND123