Senior Billing Strategy Lead

A company is looking for a Senior Billing Strategy Lead, Eligibility & Reimbursement. Key Responsibilities Lead strategic initiatives for payer coverage analysis, reimbursement optimization, and denial mitigation Serve as a subject matter expert in revenue cycle management, insurance eligibility, and claims lifecycle Conduct investigations into coverage gaps and claim denials, translating findings into operational improvements Required Qualifications Bachelor's Degree in Business, Healthcare Administration, Economics, Information Systems, or related field; Master's preferred 8+ years of experience in healthcare billing, revenue cycle operations, or payer relations, with exposure to lab billing Strong understanding of payer contracts, prior authorization requirements, and insurance eligibility verification Hands-on experience with SQL, Snowflake, and healthcare platforms such as AdvancedMD and EMRs Experience with BI tools like Power BI, Hyperion, or Business Objects

Apr 23, 2025 - 21:02

A company is looking for a Senior Billing Strategy Lead, Eligibility & Reimbursement. Key Responsibilities Lead strategic initiatives for payer coverage analysis, reimbursement optimization, and denial mitigation Serve as a subject matter expert in revenue cycle management, insurance eligibility, and claims lifecycle Conduct investigations into coverage gaps and claim denials, translating findings into operational improvements Required Qualifications Bachelor's Degree in Business, Healthcare Administration, Economics, Information Systems, or related field; Master's preferred 8+ years of experience in healthcare billing, revenue cycle operations, or payer relations, with exposure to lab billing Strong understanding of payer contracts, prior authorization requirements, and insurance eligibility verification Hands-on experience with SQL, Snowflake, and healthcare platforms such as AdvancedMD and EMRs Experience with BI tools like Power BI, Hyperion, or Business Objects