Claims Processing Operations Lead - Remote

Overview

The Claims Processing Operations Lead will enhance revenue cycle outcomes for clients by monitoring workflows and providing analytical expertise while coaching team leads.

In Short

• Lead team meetings and prepare performance metrics reports.
• Support Client Success Managers during client calls.
• Manage and train team leads on billing workflows.
• Analyze data using Excel pivot tables.
• Identify root causes of claims rejections and edits.
• Collaborate cross-functionally to resolve client requests.
• Ensure timely billing of claims.
• Participate in performance reviews and timecard submissions.
• Engage in continuous learning and career development.
• Contribute to community initiatives.

Requirements

• High school diploma or equivalent.
• Experience in backend revenue cycle management.
• Confidence in coaching and mentoring direct reports.
• Proficiency in Cerner and healthcare claims clearinghouse.
• Ability to create and analyze pivot tables in Excel.

Benefits

• Competitive benefits package.
• Annual bonus plan eligibility.
• Opportunities for career growth and learning.
• Supportive work environment focused on community impact.