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Tpl Manager Jobs (NOW HIRING)

Firstsource

Quality Auditor

Louisville, KY

Denials management (technical & clinical) * Insurance follow-up * Appeals handling * WC and TPL workflows * Audit / QA activities preferred * Experience with preferred Skills * Strong understanding ...

Medlytix

Case Manager

Roswell, GA · On-site

$18.75 - $24.25/hr

Negotiate settlements with law firms and otherwise communicate to resolve TPL and bodily injury claims. * Document thorough and accurate records of interactions. * Identify obstacles to payment and ...

Medlytix

Case Manager

Roswell, GA

$18.75 - $24.25/hr

Negotiate settlements with law firms and otherwise communicate to resolve TPL and bodily injury claims. * Document thorough and accurate records of interactions. * Identify obstacles to payment and ...

True North Recovery, Inc.

Billing Specialist

Wasilla, AK · On-site

$22 - $25/hr

The Billing Specialist will manage all aspects of the billing cycle, from generating invoices to ... Process incoming TPL RA's, posting payments to EHR. * Submit COB/EOB limitations to AK-Medicaid for ...

Medlytix

Case Manager

Roswell, GA · On-site

$18.75 - $24.25/hr

Negotiate settlements with law firms and otherwise communicate to resolve TPL and bodily injury claims. * Document thorough and accurate records of interactions. * Identify obstacles to payment and ...

Alvis Inc

Medicaid Billing Supervisor

Columbus, OH · On-site

... managed care plans. In this role you will ensure accurate, timely claims submission, proactive ... Knowledge of ODM/PNM & MITS, EVV, EDI, NCCI, COB/TPL * Proficiency with EHR/PM systems; Excel ...

Alvis, Inc.

Medicaid Billing Supervisor

Columbus, OH · On-site

$48K - $67K/yr

... managed care plans. In this role you will ensure accurate, timely claims submission, proactive ... Knowledge of ODM/PNM & MITS, EVV, EDI, NCCI, COB/TPL * Proficiency with EHR/PM systems; Excel ...

True North Recovery Inc

Billing Specialist

Wasilla, AK · On-site

The Billing Specialist will manage all aspects of the billing cycle, from generating invoices to ... Process incoming TPL RAs, posting payments to EHR. * Submit COB/EOB limitations to AK-Medicaid for ...

True North Recovery, Inc.

Billing Specialist

Wasilla, AK

$18.50 - $25/hr

The Billing Specialist will manage all aspects of the billing cycle, from generating invoices to ... Process incoming TPL RA's, posting payments to EHR. * Submit COB/EOB limitations to AK-Medicaid for ...

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Tpl Manager information

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$33.5K

$106.6K

$181K

How much do tpl manager jobs pay per year?

As of Jun 4, 2026, the average yearly pay for tpl manager in the United States is $106,639.00, according to ZipRecruiter salary data. Most workers in this role earn between $75,000.00 and $132,500.00 per year, depending on experience, location, and employer.

What is the difference between Tpl Manager vs Tpl Coordinator?

AspectTpl ManagerTpl Coordinator
CredentialsTypically requires a bachelor's degree in logistics, supply chain, or related field; certifications like CSCP or APICS are commonUsually holds a similar degree; certifications are less common but beneficial
Work EnvironmentOversees teams, manages logistics operations, and develops strategies within warehouses or distribution centersSupports logistics activities, coordinates shipments, and assists managers in daily tasks
Employer & Industry UsageUsed in manufacturing, retail, and distribution companies for overseeing logistics processesCommonly found in similar industries, focusing on operational support and coordination

The main difference between a Tpl Manager and a Tpl Coordinator lies in their responsibilities and level of authority. The Tpl Manager has a strategic and supervisory role, overseeing logistics operations and teams, while the Tpl Coordinator focuses on supporting and coordinating daily logistics activities. Both roles require similar educational backgrounds, but the manager position involves more leadership and decision-making responsibilities.

Quality Auditor

Firstsource

Louisville, KY

Other

Posted 13 days ago

Firstsource rating

6.8

Company rating: 6.8 out of 10

Based on 54 frontline employees who took The Breakroom Quiz

20th of 71 rated call and contact centers

Job description

Job Description - Auditor (HB & PB) Role

Auditor - Hospital Billing (HB) & Professional Billing (PB)

Role Summary

Responsible for auditing Hospital Billing (HB) and Professional Billing (PB) accounts with focus on technical and clinical denials, insurance follow-up workflows, Workers' Compensation (WC), and Third-Party Liability (TPL) processes to ensure accuracy, compliance, and optimal reimbursement.

Key Responsibilities

  • Perform end-to-end audits of HB and PB accounts including billing, denials, and AR follow-up activities

  • Review and validate technical denials such as:

    • Eligibility issues

    • Demographic errors

    • Duplicate claims

    • Timely filing denials

    • Authorization issues

    • Provider/NPI-related denials

  • Review and validate clinical denials such as:

    • Medical necessity

    • Diagnosis-procedure linkage

    • Level of care

    • Non-covered services

    • Documentation-related denials

  • Audit insurance follow-up activities including:

    • Claim status review

    • Denial handling

    • Appeals

    • Underpayment follow-up

  • Review and evaluate WC and TPL claims including:

    • Liability handling

    • Coordination of benefits

    • Documentation validation

  • Validate coding-related denial scenarios involving CPT, ICD-10, modifiers, and payer edits

  • Conduct root cause analysis (RCA) and identify denial/error trends

  • Provide actionable feedback and coaching inputs to operations teams

  • Ensure compliance with payer guidelines, CMS regulations, and client SOPs

  • Participate in internal/client calibration sessions

  • Maintain audit accuracy and productivity SLAs

Quality & Governance

  • Execute random and targeted audits

  • Ensure audit consistency and inter-rater reliability (IRR)

  • Track defect trends, denial patterns, and recovery opportunities

  • Support denial prevention and process improvement initiatives

Qualifications

  • Bachelor's degree preferred (Healthcare/RCM preferred)

  • Certifications preferred: AAPC (CPC/COC) / AHIMA

Experience

  • 5+ years of experience in Revenue Cycle Management (RCM)

  • Strong exposure to both:

    • Hospital Billing (HB)

    • Professional Billing (PB)

  • Experience in:

    • Denials management (technical & clinical)

    • Insurance follow-up

    • Appeals handling

    • WC and TPL workflows

    • Audit / QA activities preferred

  • Experience with preferred

Skills

  • Strong understanding of payer guidelines and billing workflows

  • Knowledge of CPT, ICD-10, modifiers, and denial workflows

  • Analytical thinking and RCA capability

  • Strong communication and stakeholder management skills

  • Ability to identify process gaps and drive quality improvements

We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.
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