Senior RCM Analyst & SME - Remote Billing Lead

Cardinal Health; Salt Lake City (UT); Remote; USD 57,000 - 82,000; Full time

Benefits offered by this job

Medical coverage

Dental and Vision

Paid time off

HSA

401k savings plan

MyFlexPay access

FSAs

Disability coverage

Work-Life resources

Parental leave

Wellness programs

Job summary

Cardinal Health is seeking an Analyst Team Lead for the AR Payer Pod in a remote, nationwide capacity. This role provides senior operational support, acts as SME for billing, payer requirements, and claims resolution, and mentors AR staff to ensure quality and productivity.

The incumbent supports leadership with metrics, process improvements, and cross-functional collaboration. The position emphasizes leadership without direct supervisory authority, with a focus on coaching, troubleshooting, and

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

• 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 point of escalation for complex billing, claims, payer, and account issues.
• Partner with Supervisor to monitor team performance and support initiatives.
• Provide coaching, mentoring, and training to team members; reinforce best practices.
• Monitor productivity, quality metrics, and policy compliance; assist with performance expectations.
• Document performance observations and assist with personnel-related matters.
• Lead or coordinate escalation projects to resolve high-priority accounts and client concerns.
• Investigate, analyze, and resolve complex insurance claims including denials and appeals.
• Process and follow up on insurance claims to ensure timely reimbursement.
• Oversee denial and appeal management to maximize reimbursement.
• Manage billing/work queues and ensure timely processing.
• Investigate payer responses and update patient accounts with accurate info.
• Maintain detailed, compliant account documentation.

Skills

AR processing

Billing regulations

Payer requirements

Claims resolution

Mentoring

Escalation handling

Workflow optimization

Communication

Education

High School diploma or equivalent

Tools

MS Office

Insurance portals

Job description

Cardinal Health is seeking an Analyst Team Lead for the AR Payer Pod in a remote, nationwide capacity. This role provides senior operational support, acts as SME for billing, payer requirements, and claims resolution, and mentors AR staff to ensure quality and productivity.

The incumbent supports leadership with metrics, process improvements, and cross-functional collaboration. The position emphasizes leadership without direct supervisory authority, with a focus on coaching, troubleshooting, and