Submission & Resubmission Team Lead

Responsibilities

• Lead coach and manage the Submission Resubmission team to achieve departmental KPIs
• Monitor daily submission and resubmission activities to ensure accuracy and timeliness
• Review rejected or returned submissions, identify root causes and implement corrective actions
• Develop and maintain standard operating procedures (SOPs) for submission workflows
• Ensure compliance with company policies, payer/client requirements and applicable regulations
• Coordinate with internal departments such as Operations, Quality, Billing, Coding, Customer Service and IT to resolve submission-related issues
• Analyze submission trends, rejection patterns and team performance metrics
• Prepare daily, weekly and monthly operational reports for management
• Conduct quality audits and provide feedback and training to team members
• Drive process improvement initiatives to enhance productivity and reduce turnaround time
• Manage workload distribution and resource planning to meet service-level agreements (SLAs)
• Support system upgrades, process automation and implementation of new workflows

• Bachelor's degree in Business Administration, Healthcare Management, Finance, or a related field.
• 3–5+ years of experience in submission, claims processing, revenue cycle, or related operations.
• At least 1–2 years of team leadership or supervisory experience.
• Experience with claims management or submission systems is preferred.