Member Advocacy & Billing Resolution Manager - Free Healthcare Benefit for Entire Family!

At Redirect Health, we’re on a mission to make healthcare accessible and affordable for everyone. We are currently accepting applications for a Member Advocacy & Billing Resolution Manager to join our growing Member Success team.

We’re looking for a Member Advocacy & Billing Resolution Manager to lead a team dedicated to helping members navigate medical bills with clarity, empathy, and creativity. This is more than just billing — it’s about advocating for members, solving complex problems, and ensuring every interaction leaves people feeling cared for and confident.

• Why Join Us?
• We’re redefining healthcare by removing the financial burden for our team members and their families. Here's what FREE healthcare means for you:
• No premiums
• No co-pays
• No deductibles
• No out-of-pocket maximums

That’s right—your entire family gets access to comprehensive, free healthcare. On average, this benefit saves our team members $20,000 annually. It’s our way of ensuring you can focus on what matters most—your health and well-being.

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