Lead Billing Analyst

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

📋 Description

• Supervise the daily billing operations conducted by contractor resources to ensure precision, punctuality, and adherence to service level agreements (SLAs).

• Offer direction, guidance, and assistance to contractors without structured or regular one-on-one management.

• Facilitate the onboarding process for new contractors, which includes training on processes, coordinating system access, and aligning workflows.

• Serve as a point of escalation for operational inquiries, workflow clarifications, and issue resolutions.

• Address client inquiries and resolve billing challenges while ensuring service delivery meets client expectations.

• Collaborate with internal stakeholders and customer teams to rectify billing discrepancies and uphold satisfaction levels.

• Conduct targeted quality audits of Insurance Discovery billing operations.

• Analyze audit findings to pinpoint trends, risks, and areas for improvement.

• Provide constructive feedback and recommendations to contractors and leadership to enhance accuracy and minimize errors.

• Support quality reviews post-training and onboarding.

• Ensure that billing activities comply with HIPAA, payer guidelines, and company compliance standards.

• Validate insurance identification and billing practices and report compliance gaps or process failures.

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

• Monitor key performance indicators (KPIs) and SLAs, utilizing data insights to inform process enhancements and contractor performance expectations.

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

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

• Recommend and promote enhancements in workflow, billing accuracy, operational efficiency, and quality control.

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

⛳️ Requirements

• Preferred Bachelor’s degree; 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.

• Demonstrated ability to analyze data and drive performance improvements.

• Excellent communication and stakeholder management skills.

• Proficient in Microsoft Excel and reporting tools.

• Experience in supporting remote, distributed teams.

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

• Ability to work independently while managing multiple priorities.

• Strong problem-solving and decision-making skills.

• Compliance with HIPAA, FCRA, GLBA, and other relevant laws and company policies.

• HIPAA-compliant management of patient information and awareness of confidentiality obligations.

🏝️ Benefits

• FinThrive is committed to continuously enhancing the colleague experience with new perks and benefits; current offerings can be found at finthrive.com/careers-benefits.

• Equal Opportunity Employer