Fast Pace Health strives to provide a best in class patient experience in every interaction. We are seeking a highly-skilled, experienced Claims Escalation Manager to join our growing team. Our ideal candidate will be deeply committed to nurturing our Fast Pace mission of teamwork, communication, empowerment and quality care in a friendly and encouraging environment.

Fast Pace Health aims to push for a new vision of healthcare in rural communities that will consist of an array of different services. We are changing the delivery of healthcare in these rural areas by integrating excellent patient care, education, accessibility, and community service, in a way that puts the patient’s needs first and improves the health status of our communities.

Fast Pace Health is a growing company! You will have the support and mentoring you need to become the best Claims Escalation Manager you can be! We will help you grow your professional goals, and can offer you a rewarding career path. We work as a dynamic team to surpass our business goals by ensuring our patients receive the best care possible in a positive environment.

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  We offer competitive compensation and benefits such as holiday pay, PTO, medical, dental, vision and Work-Life balance, to name a few.

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  As a Fast Pace Health employee you will have the opportunity to participate in community events and outreach programs. This includes, but is not limited to, seasonal parades, book drives, festivals, trunk or treating, fun runs, and more. We dress up for holidays and celebrate with pot lucks. At Fast Pace, our community is our family, and we are a family first community.

Below, we have provided a high level view of what the role entails, with the complete job description discussed in detail during our interviewing process.

• Manages through assigned Supervisors the day-to-day functions of the claims escalation team, which consists of collecting and managing accounts, follow up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate) and following up on all denials to ensure processing/reprocessing and payments.
• Will collaborate with other departments and vendors for and in the Revenue Services department to resolve conflicts and issues.
• Monitors and works at streamlining denials and payment processing.
• Implement and adhere to policies, procedures, and systems for claims escalation to ensure timeliness of collections.
• Establishes controls and ensures denials worked are performed accurately and in a timely manner.
• Establishes a follow up process to ensure denials are worked in a timely manner.
• Coaches and develops staff knowledge of the practice management software and insurance guidelines.
• Monitors task to improve cash practices and optimize reimbursement while maintaining a strong patient first approach.
• Ensure adherence to objectives, operating policies and procedures, and strategic action plans for achieving goals.
• Actively recommends new processes and procedures as needed to improve our overall process.
• Motivates self and overall team and supports supervisors within team to create a positive, productive and efficient work environment supportive of our values while meeting and exceeding our company goals.
• Leads by example to supervisors within team and as a result overall staff in attitude and work performance that represents our values.
• Interviews candidates for positions that report to the Supervisor – Claims Escalation and Manager - Claim Escalation as necessary.
• Responsible for overseeing training for positions that report to the Supervisor Claims Escalation and supporting training and coaching for those that report within the respective teams.
• Responsible for overseeing performance and any related counseling of positions that report to the Supervisor Claims Escalation, up to and including recommendation for termination of employment.
• Recognizes strong individual and team performance in support of our values and company goals.

• At least 7 years of handling the claims escalation & processing experience
• At least 5 years of leadership/supervisory experience (healthcare experience preferred)