tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.
We are currently looking for a Manager, Claims Servicing to join our growing team!
Position Description:
Oversees daily claims servicing activities and stakeholder engagement, managing inquiry resolution, agency relationships, and operational performance. This role serves as the primary point of contact for claims-related questions and works to strengthen relationships with providers and external agencies.
Office Location:
**Remote**
Responsibilities include, but are not limited to the following:
- Oversee team of claims support representatives to ensure high quality standards meeting service levels and key performance indicators.
- Manage dissemination of incoming claims tickets and phone inquiries; resolve escalations and operational issues efficiently.
- Coordinate and facilitate agency meetings, addressing provider and partner concerns and feedback.
- Oversee performance of systemic tools (ticketing system, Elevate, Claim Status Check Tool etc.) to ensure transparency, capability alignment, and long-term sustainability, enabling the team to operate efficiently and effectively
- Develop and deliver training on claims processes, policies, and system updates.
- Oversee claims reconsideration process.
- Oversee 835 Process
- Analyze and report trends with home health agencies (HHA); identify and execute education opportunities.
- Maintain accurate and up-to-date documentation.
- Partner with Claims Operations teams to troubleshoot complex or escalated claims issues.
- Monitor response times and quality metrics for claims servicing; implement corrective actions as needed.
- Support audits and compliance reviews by providing detailed documentation and process evidence.
- Build and maintain positive relationships with external agencies and internal stakeholders.
Qualifications:
- Bachelor's degree or equivalent experience
- 5+ years in claims servicing, claims operations, or healthcare customer service
- Strong knowledge of healthcare claims processes and industry regulations
- Demonstrated strength in stakeholder communication, relationship management, and documentation
- Proficiency with claims systems and Microsoft Office Suite
- Excellent written and verbal communication skills
Proven Personal Attributes:
- Customer-focused with strong commitment to service excellence and responsiveness
- Excellent listener and communicator with ability to work effectively across teams
- Detail-oriented and organized with ability to prioritize multiple requests
- Problem-solver with ability to remain calm under pressure
- Professional demeanor and strong interpersonal skills
- Collaborative team player with positive attitude and willingness to help others
- Strong work ethic and commitment to accuracy and compliance
tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.