Remote Senior RCM Analyst & SME Team Lead

Cardinal Health

Hagåtña (GU)

Hybrid

USD 57,000 - 82,000

Full time

10 days ago
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Benefits offered by this job

Medical, dental and vision coverage
Paid time off plan
401k savings plan
Access to wages before pay day with my
Flexible spending accounts (FSAs)

Job summary

Cardinal Health is seeking an Analyst Team Lead for the US AR payer pod. This role provides SME-level expertise in billing, payer requirements, and claims resolution, while guiding the AR Representatives and ensuring timely processing.

The candidate will mentor staff, handle complex issues, and support continuous improvement in revenue cycle performance. Excellent communication and analytical skills are essential for success.

Qualifications

  • High School diploma or equivalent.
  • 3 years’ experience with insurance billing and processing claims preferred
  • 3 years’ experience with Medicare claims, and Medicare and private insurance verification preferred
  • Knowledge of insurance portals; familiarity with medical terms or practices
  • Proficiency in basic math and business calculations
  • Working knowledge of computer/data entry with the ability to learn new systems

Responsibilities

  • Serves as SME for Accounts Receivable processes and billing regulations.
  • Provides day-to-day leadership, guidance, and technical support to AR Representatives.
  • Acts as first point of escalation for complex billing, claims, payer, and account issues.
  • Partners with Supervisor to monitor team performance and identify improvements.
  • Coaches, mentors, and trains team members on processes and best practices.
  • Monitors productivity, quality metrics, policy compliance, and performance expectations.
  • Documents performance observations and assists with personnel-related matters.
  • Leads or coordinates departmental escalation projects and high-priority accounts.
  • Investigates, analyzes, and resolves complex insurance claims, including denials and appeals.

Skills

Communication skills
Analytical skills
Problem solving
Leadership ability

Education

High School diploma or equivalent

Tools

MS Office

Job description

Cardinal Health is seeking an Analyst Team Lead for the US AR payer pod. This role provides SME-level expertise in billing, payer requirements, and claims resolution, while guiding the AR Representatives and ensuring timely processing.

The candidate will mentor staff, handle complex issues, and support continuous improvement in revenue cycle performance. Excellent communication and analytical skills are essential for success.

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