About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
CorroHealth is seeking a Manager, Appeal Shipment Teams to join our team!ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
Location: This is a REMOTE position within the US Only
Required Schedule: Monday - Friday, 8:00 AM - 5:00 PM
Management & Oversight
- The Manager of the Appeals Shipment Teams will oversee (2) Supervisors, the quality assurance, documentation completeness, regulatory adherence, and operational efficiency across all pre‑ and post- shipment workflows.
- Monitor workload distribution and performance metrics to maintain a balanced, high-performing team environment.
- Develop and refine workflows to enhance turnaround time, quality assurance, and escalation management.
Communication & Collaboration
- Oversee communications for the Appeals Pre- and Post- Shipment divisions, ensuring timely, consistent, and professional correspondence across internal teams, clients, and payers.
- Serve as the key liaison between Operations, Quality, and Leadership to support clear process alignment and continuous improvement initiatives.
- Facilitate team meetings and cross-departmental updates to ensure transparency and unified departmental direction.
Strategic Development
- Partner with senior leadership to identify process improvement opportunities and streamline Appeals workflows through data analysis and Lean methodology.
- Partner with analytics teams to track trends in appeal success rates tied to submission quality
- Promote accountability and professional development within the team, emphasizing accuracy, communication excellence, and client satisfaction.
- Drive reduction of manual work, including minimization of mail/fax processes in favor of portal submissions where applicable
- Analyze root causes of resubmissions, rework, and rejected/returned appeals (e.g., missing clinical documentation, incorrect forms, filing limit issues, or submission method errors). Develop and implement corrective action plans to address recurring issues and prevent downstream delays
- Establish feedback loops to continuously improve first-pass submission quality and reduce avoidable resubmissions
Reporting & Analytics
- Track and provide regular reporting and insights to leadership on key performance indicators (KPIs) including:
- Appeal readiness turnaround time
- Quality audit scores
- Submission timeliness
- Volume by payer and submission method
- Utilize tools such as Salesforce, Power BI, or other reporting platforms to drive data-informed decision making
Preferred Qualifications
- Experience in multi-payer, multi-state appeals operations
- Familiarity with Payer Portals, workflow tools, and automation initiatives
- Experience implementing SOPs, QA programs, or operational transformations
- Process improvement experience
PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.