Billing Analyst Lead

This is a fully remote position, open to applicants in United States.

📋 Description

• Supervise daily billing operations executed by contractor resources to ensure precision, promptness, and compliance with service level agreements (SLAs).

• Provide direction, guidance, and assistance to contractors without the structure of regular one-on-one management.

• Facilitate the onboarding process, training on procedures, coordination of system access, and alignment of workflows for new contractors.

• Serve as a point of escalation for operational inquiries, clarification of workflows, and resolution of issues.

• Address customer inquiries and concerns while ensuring that service delivery aligns with client expectations.

• Collaborate with internal stakeholders and customer teams to rectify billing discrepancies and enhance outcomes.

• Conduct and oversee focused quality audits on Insurance Discovery billing activities.

• Analyze audit findings to detect trends, risks, and opportunities for improvement.

• Provide feedback and recommendations to contractors and leadership aimed at enhancing accuracy and minimizing errors.

• Assist with post-training and onboarding quality evaluations.

• Ensure that billing activities adhere to HIPAA regulations, payer guidelines, and company standards.

• Validate insurance identification and billing methods and report any compliance discrepancies.

• Prepare and review operational and quality reports that track productivity, accuracy, and trends.

• Monitor key performance indicators (KPIs) and SLAs, identifying areas that require intervention.

• Utilize data insights to inform process enhancements and set performance expectations for contractors.

• Collaborate with Quality Assurance, Compliance, Training, and Client Services teams.

• Provide leadership with updates regarding performance, risks, and initiatives for improvement.

• Suggest and support enhancements to workflow, billing accuracy, efficiency, and quality control.

• Foster accountability, compliance, and high-quality outcomes across contractor teams.

⛳️ Requirements

• Bachelor’s degree preferred; equivalent experience will be considered.

• 4–7 years of experience in healthcare revenue cycle management or Insurance Discovery billing.

• Experience with contractor or vendor-based teams is preferred.

• Strong background in quality assurance, auditing, or performance oversight.

• In-depth understanding of revenue cycle management workflows, including billing, eligibility, accounts receivable, and denials.

• Proven capability to analyze data and implement performance improvements.

• Excellent communication and stakeholder management abilities.

• Proficiency in Microsoft Excel and reporting tools.

• Experience in supporting remote, distributed teams.

• Familiarity with quality frameworks (e.g., Six Sigma or similar methodologies).

• Ability to work independently while managing multiple priorities effectively.

• Strong problem-solving and decision-making skills.

• Must comply with HIPAA, FCRA, GLBA, and other relevant laws and company compliance policies.

• Must handle patient information in a manner compliant with HIPAA and uphold confidentiality obligations.

🏝️ Benefits

• FinThrive offers various perks and benefits, with the latest offerings available at finthrive.com/careers-benefits.

• Equal Opportunity Employer.