Senior AR Billing SME - Remote Lead

Cardinal Health

Lincoln (NE)

Remote

USD 57,000 - 82,000

Full time

9 days ago
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Benefits offered by this job

Medical coverage
Dental coverage
Vision coverage
Paid time off
Health savings account (HSA)
401k savings plan
Access to wages before pay day with my
FlexPay access
FSAs
Disability coverage
Work-Life resources
Paid parental leave
Healthy lifestyle programs

Job summary

Cardinal Health in Lincoln, NE is seeking an Analyst Team Lead for the AR Payer Pod. You will serve as SME for billing, payer requirements, and claims resolution, provide day-to-day leadership to AR Representatives, and mentor staff on complex issues and process improvements.

The role emphasizes coaching, performance monitoring, and ensuring quality and productivity while aligning with company policies and best practices. Remote hours and flexible scheduling may apply 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 a variety of medical and/or insurance terms or practices.
  • Full knowledge all areas of collections specialization preferred.
  • 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.
  • 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.

Skills

Insurance billing
Medicare claims
Data entry
MS Office

Education

High School diploma or equivalent

Tools

MS Office
Insurance portals

Job description

Cardinal Health in Lincoln, NE is seeking an Analyst Team Lead for the AR Payer Pod. You will serve as SME for billing, payer requirements, and claims resolution, provide day-to-day leadership to AR Representatives, and mentor staff on complex issues and process improvements.

The role emphasizes coaching, performance monitoring, and ensuring quality and productivity while aligning with company policies and best practices. Remote hours and flexible scheduling may apply based on business needs.

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