Revenue Cycle & Claims Operations Lead
$55.29 - $72.12 per hourKeyStaff
Job Description
Job Description
Revenue Cycle & Claims Operations Lead
Location: Pompano Beach, FL
Schedule: Monday–Friday, 8:30 AM–5:00 PM
Pay Rate: Approximately $55.29–$72.12 per hour
Job Description:
The Revenue Cycle & Claims Operations Lead oversees healthcare billing, claims, and revenue cycle operations. This position monitors claims, payments, billing issues, and payer requirements while working to improve billing processes and system performance.
Main Responsibilities:
- Manage and monitor medical claims and billing operations.
- Oversee claim submissions, holds, denials, payments, and underpayments.
- Work with Athena and payer systems to resolve billing issues.
- Review payer contracts and ensure billing follows contracted rates.
- Create and maintain reports to track claims and payments.
- Identify recurring billing problems and develop solutions.
- Supervise and support the Billing & Claims Analyst.
- Work with finance, operations, payers, and software vendors.
- Evaluate Athena and recommend system or process improvements when needed.
Qualifications:
- 5+ years of healthcare revenue cycle or claims experience.
- Experience with value-based care, delegated services, HEDIS, or risk adjustment.
- Experience with Athena or a similar EMR/RCM system.
- Strong analytical, reporting, and problem-solving skills.
- Ability to understand payer contracts and billing requirements.
- Strong communication and leadership skills.
#FTL
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Revenue Cycle & Claims Operations Lead in Pompano Beach, FL vacancy
$45k - $55k
...of the organization as they relate to revenue cycle functions which include but are not limited... ...branch to provide support to ensure claims are processed accurately and on time.... ...factors outlined in the Company’s standard operating procedures. Designs and develops the...ClaimsCOMFORT CARE HOMECARE INC
Boca Raton, FL2 days ago- ...RCM, the Pod Captain is responsible for revenue cycle duties including but not limited to:... ...timely and accurate submission of insurance claims collecting payment on outstanding... ...Manager of RCM daily to ensure a smooth operation within the department. Provides backup...ClaimsRemote jobWork at officeFlexible hours
- ...Day | Category: Accounting | Revenue Cycle Management – Manager Overview... ...medical transport provider, operating a jet fleet of approximately... ...months. The RCM Manager will lead two FTEs and will develop synergies... ...‑1500 forms and submit clean claims to the third‑party billing...ClaimsFull timeContract workWork at officeShift work
REVA
Fort Lauderdale, FL2 days ago - ...ProgramParental LeavePosition SummaryThe Revenue Cycle Manager reports directly to the Revenue... ...trends that inhibit timely payment.Confirms claims are worked within the established... ...team on updated processes/new processes.Leads training for new revenue cycle staffAdditional...ClaimsContract workWork at officeLocal area
Lifeskills South Florida
Deerfield Beach, FL2 days ago - ...will verify data accuracy, post payments, and generate financial reports to support the revenue cycle. You will collaborate with the CFO and Registration Services to ensure timely claims, monitor accounts receivable, and help develop efficient processes to improve cash...Claims
$16.04 - $19.41 per hour
...Billing Specialist, Revenue Cycle Responsible for working/editing daily download of assigned Managed Care/HOM claims, optimizing the timely transmittal of accurate and clean claims daily Billing Specialist I is responsible for identifying and obtaining invalid/missing...ClaimsContract workWork at office$18.32 - $23.82 per hour
...Department, Patient & Guest Services, Special Handling, UR, CPO and Claims Management Department) Answering all incoming calls through the... ...Working knowledge and understanding of: medical terminology, Revenue Codes, DRG guidelines, ICD9, CPT4, Modifiers & HCPC codes,...ClaimsHourly payFull time$54.08k - $56.16k
....00/yr - $56,160.00/yr Revenue Recovery Specialist - Exact... ...unique team of revenue cycle management... ...the expansion of global operations. Part of the ICBD family... ...appealing outpatient-based claim payment variances for behavioral... ...Call Center Admin Team Lead for Collections...ClaimsHourly payFull timeWork at officeFlexible hoursExact Billing Solutions
Deerfield Beach, FL17 hours ago- ...Description Job Description General Summary A results-driven Revenue Cycle Manager will lead day-to-day revenue cycle operations across Workers’ Compensation, Personal Injury, and Pharmacy claims. This role will be responsible for driving collections, reducing...ClaimsContract workLocal area
$26 - $27 per hour
A healthcare billing solutions company in Deerfield Beach, FL is seeking a Revenue Recovery Specialist to optimize revenue recovery by analyzing claim payment variances. The ideal candidate should have a Bachelor's degree in Accounting and over 3 years of related experience...ClaimsHourly pay- ...Billing Coordinator to support Student Health Services. The role manages health service applications and revenue cycle, reviews insurance eligibility, processes claims, and posts payments within the electronic health records system. The ideal candidate holds a Master's...Claims
$65k - $90k
...delivers hands-on, process-driven operational support to behavioral health... ...to support our Chief Revenue Officer for Quadrant Billing... ...health administration, revenue cycle management, operations, and data... ...for census, collections, VOBs, claims, and reimbursement trends....ClaimsFull timeWork at officeWeekend workQuadrant Health Group
Boca Raton, FL7 days ago- ...Porter is hiring a Billing & Claims Analyst. ABOUT THE ROLE Our organization operates in a payer-contracted services model — delegated services... ...separately — and flagging patterns to the Revenue Cycle & Claims Operations Lead so they can be fixed at the source. KEY RESPONSIBILITIES...Claims
Porter Corp
Pompano Beach, FL4 days ago $28 - $36 per hour
...Job Description Job Description Billing & Claims Analyst Location: Pompano Beach Schedule: 8:30am – 5:00pm Pay Rate:... ...maintaining accurate reports. This position works closely with the Revenue Cycle team to make sure claims are submitted correctly, payments are...ClaimsKeyStaff
Pompano Beach, FL11 days ago$18 - $24 per hour
...Claims Specialist- In Office Role Quadrant Billing Solutions delivers hands-on, process-driven operational support to behavioral health programs. We are looking for a Claims Specialist... ...in medical claims processing or revenue cycle operations. ? Behavioral health...ClaimsHourly payFull timeWork at officeQuadrant Health Group
Deerfield Beach, FL4 days ago$20 per hour
...Reimbursement Specialists to support our expanding healthcare operations near Fort Lauderdale, FL. This position is ideal for revenue cycle professionals who excel at navigating insurance workflows, resolving complex claim disputes, and securing accurate reimbursement. Core...ClaimsHourly pay- ...bring your expertise to a growing practice and play a key role in revenue cycle management. Responsibilities: Oversee daily billing operations and staff Ensure timely and accurate submission of claims Monitor accounts receivable and resolve billing issues...Claims
HealthPlus Staffing
Pompano Beach, FL2 days ago - ...Posting Specialist to join our growing revenue cycle team. In this role, you'll play a vital... ...processing, supporting financial accuracy and operational efficiency across our behavioral health... ..., coinsurance, and copayments once claims are fully processed. Ensure transaction...ClaimsFull time
Banyan Treatment Centers
Pompano Beach, FL4 days ago $65k - $85k
...Medical Billing is a specialized revenue cycle management firm serving... ...experienced Billing Supervisor to lead our RCM billing team. This is... ...performance of our billing operations — from submission through... ...and submission of insurance claims, ensuring accuracy, completeness...ClaimsFull timeWork at officeLocal areaRemote workPriority Dispatch
Fort Lauderdale, FL1 day ago$65k - $95k
...providers thrive through expert revenue cycle management, strategic insight... ...Associate M&D Capital is a leading third-party Medical Billing... ...across the United States. We operate offices across multiple states... ...specialize in out-of-network surgical claims, and partner directly with...ClaimsTemporary workWork at officeFlexible hours$100k - $110k
...Solutions is a unique team of revenue cycle management professionals... ...support the expansion of global operations. About the Role Are you an experienced... .... Key Responsibilities Lead a specialized P2P Coordinator... ...adjudication, insurance claims and denials management. Strong...ClaimsFull timeWork at officeFlexible hours- ...responsible for managing key aspects of the revenue cycle process within Quest Health Solutions.... ...compliance, and enhancing overall operational efficiency. Essential Duties and Responsibilities... ...AR tasks related to denied or delayed claims. Resupply Management Order...ClaimsLocal area
Quest Health Solutions LLC
Pompano Beach, FL2 days ago - ...Collections Specialist to support our revenue cycle operations. In this role, you will be responsible... ...and accurate follow-up on outstanding claims with third-party payers, managed care... ...the next step in your revenue cycle career with a leading national provider. EOE...ClaimsFull timeWork at officeMonday to Friday
Banyan Treatment Centers
Pompano Beach, FL17 hours ago - ...ExemptAbout Remedial ProRemedial Pro is a leading behavioral health revenue cycle management company specializing in... ...healthcare organizations improve operational efficiency and financial... ...timely follow-up on unpaid insurance claims, resolving claim issues, reducing aging...ClaimsWork at officeRemote work
$156.03k - $179.85k
...Transportation Authority (SFRTA), operator of Tri-Rail, is seeking an... ...analyzing tort and other liability claims and insurance policies to... ...termination. Department of Revenue Child Support Services. SFRTA... ...entity? Yes - As lead counsel Yes - As supporting...Claims16 hoursFull timeContract workFor contractorsWork at officeLocal areaRemote workFlexible hoursSanta Rosa County, FL
Pompano Beach, FL3 days ago$58.24k
...Operations Administrative Coordinator At Jacobs, we challenge what is currently accepted... ...physical filing systems. 6. Property Damage Claims Administration Research and submit... ...FDOT property during inventory review cycles. Prepare property surplus...ClaimsHourly payFull timeWork at office- .... Key Responsibilities Revenue Recovery & Collections... ...denied, and underpaid claims. Ensure all payer follow... ...Leadership & Team Development Lead, coach, mentor, and... ...materials and standard operating procedures (SOPs).... ...cause analysis of revenue cycle issues. Support implementation...Claims
Southeast Addiction Facilities Master
Boca Raton, FL2 days ago - ...ensure clients understand all operational aspects of their plan.... ...; resolve challenges such as claims transfers and data discrepancies... ...accountability. Ability to manage and lead effectively during times of... ...workflows, prescribing, and revenue cycle. Willingness and ability to...ClaimsContract workFlexible hours
- ...agency. They assist in filing insurance claims, determining correct reimbursements/... ...develop and maintain relationships with operations business partners by building personal... ...via intelligent solutions that optimize revenue cycle operations, administrative workflows, care...ClaimsHourly payFull timePart timeWork at officeRemote workHome officeMonday to FridayWeekend work
- ...accommodation or an alternative application process. Head of Revenue Operations Full Time Management FL-CORP-MAIN, Ft Lauderdale, FL, US 2 days... ...management. Design and maintain the workflows behind lead intake, nurture sequencing, disposition enforcement, SLA monitoring...Full timeContract work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Revenue Cycle & Claims Operations Lead. Be the first to apply!
Related searches
- medical claims auditor Pompano Beach, FL
- veterans claims Pompano Beach, FL
- claims processing Pompano Beach, FL
- hotel operations intern Pompano Beach, FL
- senior operations technician Pompano Beach, FL
- venue operations Pompano Beach, FL
- special operations Pompano Beach, FL
- franchise operations Pompano Beach, FL
- dental operations Pompano Beach, FL
- service operations leadership development program Pompano Beach, FL