Payment Operations Senior Associate
Core
Manage claim denials and appeals with payers, resolve eligibility system errors, and unblock payment issues for insurance-based billing.
Role type
Senior Associate, Payment Operations (Revenue Cycle Management)
Builds
Insurance-based billing programs and claims processing workflows
Domain
Healthcare / Insurance Revenue Cycle Management
Required skills
Claims processing, denial management, appeals handling, SOP development, cross-functional partnership, operational reporting, data synthesis, claims/collection management software proficiency, Microsoft Office
Preferred skills
Benefits management experience, process improvement, ambiguity tolerance
Technologies
Availity, Stedi, Microsoft Office
Responsibilities
Develop and refine SOPs for claims processing, review and process complex claims, identify denials and underpayments, prepare operational reporting on claims volume and denial trends, escalate systemic issues
Seniority
Senior, hands-on IC