Remote Senior Revenue Cycle Lead & AR SME

Cardinal Health; Santa Fe (NM); On-site; USD 57,000 - 82,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off

Health savings account (HSA)

401k savings plan

Access to wages before pay day with my

Healthy lifestyle programs

Job summary

Cardinal Health in the United States seeks an Analyst Team Lead for the AR Analyst Payer Pod to provide SME guidance on billing, payer requirements, and high‑level AR operations. This role supports the team, mentors colleagues, and escalations while ensuring accuracy and compliance across processes.

You will lead day‑to‑day activities, monitor metrics, and coordinate with leadership on process improvements, denials, appeals, and reimbursement.

Qualifications

• 3 years’ experience with insurance billing and processing claims
• 3 years’ experience with Medicare claims, and Medicare and private insurance verification
• Familiarity with a variety of medical and/or insurance terms
• Knowledge of all areas of collections
• Proficiency in basic math and business calculations
• Working knowledge of computer/data entry with the ability to learn new systems
• Basic level of MS Office proficiency

Responsibilities

• Serves as the primary subject matter expert (SME) for Accounts Receivable processes, billing regulations, payer requirements, and claims resolution.
• Provides day-to-day leadership, guidance, and technical support to AR Representatives to ensure quality, productivity, and service expectations are consistently met.
• Acts as the first point of escalation for complex billing, claims, payer, and account issues that require advanced knowledge or resolution.
• Partners with Supervisor to monitor team performance, identify workflow improvements, and support departmental initiatives.
• Provides ongoing coaching, mentoring, and training to team members while reinforcing best practices and process consistency.
• Assists leadership with monitoring productivity, quality metrics, policy compliance, and performance expectations.
• Leads or coordinates departmental escalation projects, ensuring timely resolution of high-priority accounts and client concerns.
• Investigates, analyzes, and resolves complex insurance claims, including denials, appeals, underpayments, and reimbursement issues.
• Processes and follows up on insurance claims to ensure timely and accurate reimbursement.
• Oversees denial and appeal management to maximize reimbursement and minimize revenue loss.
• Manages assigned billing and work queues, ensuring accounts are prioritized and worked within established timelines.
• Investigates payer responses and updates patient accounts with accurate insurance, Medicare, and billing information.
• Exercises sound judgment when reviewing account information and making appropriate billing or account updates.Maintains accurate, detailed, and compliant account documentation within company systems.
• Identifies process improvement opportunities and provides recommendations to leadership to improve efficiency, quality, and revenue cycle performance.
• Adapts quickly to evolving payer requirements, regulatory changes, and departmental processes.
• Demonstrates professionalism, accountability, and reliability while fostering a collaborative and positive team environment.
• Attends and actively participates in departmental, cross-functional, and company meetings.
• Consistently meets or exceeds departmental quality, productivity, and service standards.
• May perform any additional responsibilities or special projects as required.
• Duties and responsibilities may be subject to change based upon the needs of the department.
• May provide cross-functional support as business needs demand.

Skills

Accounts Receivable

Billing regulations

Payer requirements

Team leadership

Mentoring

Interpersonal communication

Process improvement

Education

High School diploma or equivalent

Tools

MS Office

Insurance portals

Job description

Cardinal Health in the United States seeks an Analyst Team Lead for the AR Analyst Payer Pod to provide SME guidance on billing, payer requirements, and high‑level AR operations. This role supports the team, mentors colleagues, and escalations while ensuring accuracy and compliance across processes.

You will lead day‑to‑day activities, monitor metrics, and coordinate with leadership on process improvements, denials, appeals, and reimbursement.