Member Advocacy & Billing Resolution Manager - Free Healthcare Benefit for at Redirect Health LLC

Phoenix, Arizona, United States -

Full Time

Start Date

Immediate

Expiry Date

23 Jan, 26

Salary

65000.0

Posted On

25 Oct, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Team Leadership, Billing Oversight, Member Advocacy, Cross-Functional Collaboration, Data Reporting, Problem-Solving, Negotiation, Critical Thinking, Communication Skills, Customer Service, Healthcare Navigation, Process Improvement, Empathy, Complex Issue Resolution, Performance Monitoring, Trend Analysis

Industry

Hospitals and Health Care

Description

What You’ll Do as the Member Bills and Reimbursement Manager As the Member Advocacy & Billing Resolution Manager, you’ll lead a team of 8 specialists who work directly with members to address billing challenges such as balance bills, deductibles, and co-pays. You’ll oversee team operations, build scalable processes, and foster a culture centered on exceptional member experience. Team Leadership Lead, mentor, and develop a high-performing team of Billing Resolution Specialists. Set clear performance goals and monitor team structure, workload, and effectiveness. Run engaging team meetings and ensure alignment with evolving healthcare plan guidelines. Billing & Resolution Oversight Oversee the full lifecycle of billing submissions and reimbursement activities. Ensure accurate and timely processing of claims, receipts, and virtual card payments. Partner with internal teams to resolve escalations and ensure clean handoffs. Member Experience & Advocacy Handle escalated billing issues directly with empathy, clarity, and urgency. Advocate on behalf of members to resolve balance bills and other medical charges. Identify opportunities to improve processes and prevent repeat issues. Cross-Functional Collaboration Work closely with teams like TPA, Complex Claims, and Care Logistics to ensure seamless member experiences. Communicate insights, trends, and process gaps to leadership to drive improvements. Data, Reporting & KPIs Track performance using key metrics such as Speed to Closure and Clean Claim Rate. Report on trends and lead continuous improvement initiatives across the department. What We’re Looking For 5+ years of supervisory or managerial experience, ideally in customer service, call center, or healthcare navigation environments. Background in problem-solving, negotiation, or complex issue resolution — critical thinking is key. A customer-first mindset and a passion for creating positive member experiences. Strong communication skills with the ability to simplify complex topics. Medical billing experience is not required and often not the best fit — we’re seeking leaders who think outside the box and advocate for people. What You’ll Earn Pay Range: $55k-$65k Salary (DOE) FREE Healthcare for you and your family – with no payroll deduction Dental & Vision Insurance Paid Sick & Vacation Time 401(k) access after 6 months

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Responsibilities

Lead a team of specialists to address member billing challenges and oversee billing submissions and reimbursement activities. Foster a culture of exceptional member experience while ensuring accurate and timely processing of claims.