Recora Inc.

Operations

• Own the day-to-day execution of insurance verification operations, ensuring verifications are completed within required SLAs and prioritized appropriately based on payor behavior, plan complexity, and business urgency.
• Provide functional oversight and guidance to the insurance verification team, ensuring consistent performance, clear prioritization, and adherence to best practices.
• Serve as a subject-matter expert for insurance denials, partnering with external partners to investigate, resolve, and prevent denials related to eligibility, benefits, and authorization errors.
• Perform ongoing quality assurance on verification calls and records, identifying trends, gaps, and training opportunities to continuously improve outcomes.
• Handle complex patient escalations related to insurance coverage, benefits, cost-sharing, and authorization requirements, including direct patient outreach when needed.
• Translate payor-specific nuances, denial patterns, and verification learnings into clear operational guidance for the team.
• Partner closely with cross-functional stakeholders (operations, partnerships, product) to ensure verification processes scale effectively as volume and complexity increase.

Insurance Verification Operations Lead