Senior AR Analyst & SME – Revenue Cycle (Remote)

Cardinal Health

Denver (CO)

Remote

USD 57,000 - 82,000

Full time

10 days ago
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Benefits offered by this job

Medical coverage
Dental coverage
Vision coverage
401k savings plan
Paid time off

Job summary

Cardinal Health seeks an Analyst Team Lead to act as the senior operational resource for the AR Analyst Payer Pod, overseeing billing, claims resolution, and payer requirements. This role provides daily guidance, coaching, and escalation support while ensuring productivity, quality, and compliance across the team.

The individual mentors staff, handles complex account issues, and drives process improvements to reduce denials and shorten reimbursement cycles, all while ensuring adherence to

Qualifications

  • High School diploma or equivalent required.
  • 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/insurance terms.
  • Full knowledge all areas of collections specialization preferred.
  • Proficiency in basic math and business calculations.
  • Working knowledge of computer/data entry and ability to learn new systems.
  • Basic level of MS Office proficiency.

Responsibilities

  • Serve as SME for Accounts Receivable processes, billing regulations, payer requirements, and claims resolution.
  • Provide day-to-day leadership, guidance, and technical support to AR Representatives.
  • Act as first escalation point for complex billing, claims, payer, and account issues.
  • Monitor team performance with Supervisor and support initiatives.
  • Coach, mentor, and train team members and reinforce best practices.
  • Monitor productivity, quality metrics, policy compliance, and performance expectations.
  • Document performance observations and assist with personnel matters as appropriate.
  • Lead or coordinate escalation projects for high-priority accounts and client concerns.
  • Investigate, analyze, and resolve complex insurance claims including denials and appeals.
  • Process and follow up on insurance claims for timely reimbursement.
  • Oversee denial and appeal management to maximize reimbursement.
  • Manage billing queues and ensure timely work.
  • Update patient accounts with accurate insurance information.
  • Maintain compliant documentation in company systems.
  • Identify process improvements and present recommendations to leadership.
  • Adapt to evolving payer requirements and regulatory changes.
  • Demonstrate professionalism and teamwork; participate in meetings.
  • Meet or exceed departmental quality, productivity, and service standards.

Skills

Basic math & business calculations
Communication skills
Detail oriented

Education

High School diploma or equivalent

Tools

MS Office

Job description

Cardinal Health seeks an Analyst Team Lead to act as the senior operational resource for the AR Analyst Payer Pod, overseeing billing, claims resolution, and payer requirements. This role provides daily guidance, coaching, and escalation support while ensuring productivity, quality, and compliance across the team.

The individual mentors staff, handles complex account issues, and drives process improvements to reduce denials and shorten reimbursement cycles, all while ensuring adherence to

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