Senior AR Revenue Cycle Lead (Remote)

Cardinal Health

Cheyenne (WY)

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
HSA

Job summary

Cardinal Health is seeking an Analyst Team Lead within the AR Payer Pod to provide subject-matter expertise in billing, claims resolution, and payer requirements. This full-time role includes mentoring AR representatives, handling escalations, and driving process improvements to maximize reimbursement and reduce denials.

The position emphasizes leadership through coaching, quality metrics, and adherence to policies, with flexibility to adapt to evolving payer rules.

Qualifications

  • 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 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.
  • Supports leadership by documenting performance observations, providing recommendations, and assisting with personnel-related matters as appropriate.
  • 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.

Job description

Cardinal Health is seeking an Analyst Team Lead within the AR Payer Pod to provide subject-matter expertise in billing, claims resolution, and payer requirements. This full-time role includes mentoring AR representatives, handling escalations, and driving process improvements to maximize reimbursement and reduce denials.

The position emphasizes leadership through coaching, quality metrics, and adherence to policies, with flexibility to adapt to evolving payer rules.

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