Billing Operations Lead: Claims & Rejections Expert

Intermountain Centers; Tucson (AZ); On-site; USD 65,000 - 90,000; Full time

Job summary

Intermountain Centers seeks a Lead Billing Submission Specialist to oversee claim submission across programs and payers. You will coordinate daily billing operations, manage rejections, and support ERA enrollment while training staff.

The role emphasizes improving clean claim rates, reducing delays, and aligning billing practices. Opportunity to grow within Revenue Cycle and related areas, with a focus on cross-training and process optimization.

Qualifications

• Minimum education: High School Diploma or GED.
• Preferred education with 2+ degrees in healthcare admin, business, finance or accounting.
• Minimum 3 years experience in healthcare billing or revenue cycle.
• Preferred 5 years in healthcare revenue cycle and AHCCCS, Medicare, commercial insurance knowledge.

Responsibilities

• Coordinate daily billing operations and work queues.
• Monitor claim submission performance and billing aging; review edits and rejections.
• Manage paper EOB receipt, tracking, sorting and assignment.
• Research payers with paper EOBs and support ERA enrollment.
• Serve as escalation point for complex billing issues.
• Assist with onboarding, training, and quality reviews.
• Support EHR stabilization and workflow improvements.
• Collect and route paper mail; manage Revenue cycle email.
• Collaborate with Billing, Prevention, Recovery, Revenue Integrity and Finance.

Skills

Billing experience

Staff training

Process improvement

EHR systems

Education

High School Diploma or GED

Associate's Degree in Healthcare Administration

Bachelor's Degree in Healthcare Administration

Bachelor's Degree in Business Administration

Bachelor's Degree in Finance

Bachelor's Degree in Accounting

Tools

ERA

EFT

AHCCCS

Medicare

PMPM

Case Rate

Job description

Intermountain Centers seeks a Lead Billing Submission Specialist to oversee claim submission across programs and payers. You will coordinate daily billing operations, manage rejections, and support ERA enrollment while training staff.

The role emphasizes improving clean claim rates, reducing delays, and aligning billing practices. Opportunity to grow within Revenue Cycle and related areas, with a focus on cross-training and process optimization.