InsuranceRepresentativeLead

At Aylo Health, we work together to enrich the health and well-being of every life we touch. Our mission is to make quality healthcare simple and convenient. Because healthy people can do amazing things! We offer a work environment that values the creation of lifelong relationships, while also providing opportunities for growth and career development. We strive to care for each other with the same passion with which we care for our patients. Aylo Health offers competitive pay to team members who provide high-quality care, while delivering an exceptional patient experience. Position Summary The IR Lead is responsible for supporting the daily operations of the Insurance Representatives (IR) team while serving as a subject matter expert for claim follow-up, denial management, and revenue recovery activities. This role provides guidance, training, and support to our IR team, assists with workflow management, monitors productivity and quality metrics, and serves as a liaison between staff and leadership to ensure timely resolution of outstanding accounts. The IR Lead is expected to lead by example, promote accountability, and contribute to the continuous improvement of revenue cycle processes while maintaining a strong focus on payer compliance, and financial performance. Essential Duties and Responsibilities Serve as a resource, mentor and subject matter expert for IRs, providing guidance on complex claim issues, payer policies, and revenue cycle processes. Assist with onboarding, training, and ongoing development through performance feedback and quality audits of IR staff. Monitor work queues, workload distribution and departmental productivity to ensure timely claim resolution and aging goals. Review and analyze denied, underpaid, and unpaid claims to identify root causes, trends and reimbursement opportunities. Escalate payer issues, system concerns, workflow issues and collaborate with internal teams to resolve barriers to management as appropriate. Track and report