Remote Senior Revenue Cycle SME & Lead – Billing & Claims

Cardinal Health; Concord (NH); Remote; USD 57,000 - 82,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off plan

401k savings plan

HSA

Job summary

Cardinal Health in the United States is seeking an Analyst Team Lead for the AR Payer Pod. This senior AR SME will guide billing operations, claims resolution, payer requirements, and departmental processes.

You will mentor teammates, handle complex escalations, and ensure productivity, quality, and compliance while advancing revenue cycle performance. This is a full-time role with remote hours Mon-Fri 7:00 AM–3:30 PM PST or based on business needs.

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.
• Proficiency in basic math and data entry; ability to learn new systems.

Responsibilities

• Serve as SME for AR processes, billing regulations, payer requirements, and claims resolution.
• Provide day-to-day leadership, guidance, and technical support to AR Representatives.
• Escalate complex billing, claims, payer issues requiring advanced knowledge.
• Monitor performance and support departmental initiatives.
• Coach, mentor, and train team members; reinforce best practices.
• Lead escalation projects and ensure timely resolution of high-priority accounts.
• Investigate and resolve complex insurance claims, including denials and appeals.
• Oversee denial and appeal management to maximize reimbursement.

Skills

Insurance billing

Claims processing

Medicare claims

Payer requirements

MS Office

Education

High School diploma or equivalent

Tools

MS Office

Job description

Cardinal Health in the United States is seeking an Analyst Team Lead for the AR Payer Pod. This senior AR SME will guide billing operations, claims resolution, payer requirements, and departmental processes.

You will mentor teammates, handle complex escalations, and ensure productivity, quality, and compliance while advancing revenue cycle performance. This is a full-time role with remote hours Mon-Fri 7:00 AM–3:30 PM PST or based on business needs.