Team Lead

TEAM LEAD - APPEALS Location: Fort Worth, TX 76109 | Remote after 1-month onsite training Compensation & Schedule • $19/hour • Monday–Friday, 8:00am–5:00pm • Full-time, W2 ROLE IMPACT The Appeals Team Lead supports the client’s healthcare operations by overseeing the appeals review process, ensuring regulatory compliance, and guiding team members in resolving escalated or complex cases. This role directly impacts the quality and timeliness of appeals handling, maintaining adherence to Medicare, Medicaid, and internal compliance standards. KEY RESPONSIBILITIES • Supervise daily appeal processing, distribution, and quality control activities • Review and investigate appeal submissions for completeness, accuracy, and compliance with regulatory requirements • Collaborate with internal departments to clarify information and ensure consistent handling of appeals • Draft clear, compliant, and timely appeal responses addressing all raised issues • Maintain up-to-date knowledge of Worker’s Compensation, Medicare (CMS), and Medicaid rules, as well as internal policies MINIMUM QUALIFICATIONS • High school diploma or GED required (education will be verified as part of the background process) • 3+ years of experience in healthcare customer service, insurance collections, or appeals review • Strong leadership and communication skills with proven ability to support team performance • Working knowledge of Medicare/Medicaid regulations and medical billing terminology • Advanced proficiency in Microsoft Excel (pivot tables, conditional formatting, formulas), Word, and Outlook CORE TOOLS & SYSTEMS • Microsoft Office Suite (Excel, Word, Outlook) • Medical claims processing systems • Appeals and grievance tracking software PREFERRED SKILLS • Prior leadership experience in appeals or claims operations • Knowledge of managed care workflows and regulatory reporting • Experience coordinating multi-departmental healthcare review processes

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