Senior Lead Coordinator, Revenue Cycle
$38,480–$73,403 year
On-site · Monroeville, Pennsylvania, United States
Job Summary
Senior Lead Coordinator will implement and maintain comprehensive billing review processes, analyze patient profiles, benefits, and prior authorizations to identify potential issues affecting clean claims, collaborate with clinical and administrative teams to ensure accurate documentation for claims processing, monitor claims submissions and follow up on pending claims to expedite resolution and payment, identify trends in denials and develop improvement strategies, conduct staff training on best practices for claims submissions and compliance, stay informed on insurance policies and regulations impacting claims processing, prepare reports on claims performance metrics for leadership, act as liaison between the organization and payers to resolve complex claims issues, provide guidance to coordinators to foster teamwork and excellence, ensure compliance with regulatory and organizational policies related to claims processing and patient data management, analyze workflows to identify bottlenecks and implement process improvements, collaborate with stakeholders to implement billing and coding technology, develop standardized procedures, and train staff on best practices, coordinate with external stakeholders to resolve billing/reimbursement issues, and implement internal controls to ensure integrity of reconciliation activities.
Required Qualifications
- 2+ years experience in medical benefit insurance verification
- 18+ months of experience as a Medical Billing or Collections Specialist
- High level of proficiency with Excel
- Excellent communication, organizational, problem solving and interpersonal skills
- Extreme accuracy and attention to detail and data standards
- Must live within a 1 hour commute to the Monroeville office.
Apply with one swipe on Sorce. We auto-fill applications and apply on your behalf — no cover letters, no 40-minute forms.
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.