Revenue Cycle Lead — Value-Based & Payer Operations

Porter Cares, Inc.; Pompano Beach (FL); On-site; USD 115,000 - 150,000; Full time

Benefits offered by this job

Competitive wages and benefits

Professional growth opportunities

Collaborative work environment

Job summary

Porter Cares, Inc. in Pompano Beach is looking for a Revenue Cycle & Claims Operations Lead. This role involves overseeing Athena's configuration and ensuring claims operations align with non-fee-for-service models. Ideal candidates will have over 5 years of experience managing revenue cycles and the ability to derive strategic recommendations based on payment models.

The compensation range is between $115,000 and $150,000 annually, augmented by a competitive benefits package.

Qualifications

• Experience in revenue cycle management or claims operations in healthcare.
• Ability to interpret payer contract language.
• Comfortable building reconciliation reports.

Responsibilities

• Own Athena claim edit rules and workflow configuration.
• Ensure claims reach payers as intended.
• Design recurring reports on claims status.

Skills

Revenue cycle management

Claims operations experience

Value-based care

HEDIS gap closure

Strong analytical skills

Education

5+ years experience in healthcare

Tools

Athena EMR

Job description

Porter Cares, Inc. in Pompano Beach is looking for a Revenue Cycle & Claims Operations Lead. This role involves overseeing Athena's configuration and ensuring claims operations align with non-fee-for-service models. Ideal candidates will have over 5 years of experience managing revenue cycles and the ability to derive strategic recommendations based on payment models.

The compensation range is between $115,000 and $150,000 annually, augmented by a competitive benefits package.