Ohio Chapter, American Academy of Pediatrics (Ohio AAP)

Revenue Cycle Lead – Billing Operations

Ohio Chapter, American Academy of Pediatrics (Ohio AAP)

full-time

Posted on:

Location Type: Remote

Location: Remote • 🇺🇸 United States

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Job Level

Senior

About the role

  • Serve as a project lead on payer-related initiatives, tracking timelines, deliverables, and cross-departmental coordination.
  • Support claim submission, denial management, and appeals workflows across RCM and Behavioral Health (BH) teams.
  • Proactively monitor aging claims and payer issues, driving resolution through effective collaboration with billing vendors and internal stakeholders.
  • Identify systemic denial trends, develop corrective action plans, and escalate complex issues appropriately.
  • Ensure payer enrollments, credentialing updates, and clearinghouse requirements are on schedule and compliant.
  • Build and maintain dashboards, Excel-based reports, and trackers to measure revenue cycle performance.
  • Support leadership with financial forecasting, reconciliation, and variance analysis.
  • Organize and present data to support audits, compliance, payer reporting, and operational reviews.
  • Develop standardized templates and reporting procedures to increase visibility and efficiency across teams.
  • Act as a liaison between RCM leadership, billing vendors, and internal departments to ensure goals and timelines are met.
  • Assist in creating and maintaining SOPs and documentation to support training and compliance.
  • Drive continuous improvement by identifying workflow gaps and recommending scalable solutions.
  • Support strategic initiatives by delivering insights that enhance reimbursement, reduce denials, and optimize operational efficiency.

Requirements

  • 2+ years of experience in medical billing, RCM operations, or healthcare project management.
  • Demonstrated experience managing projects from initiation through completion.
  • Advanced Microsoft Excel skills, including pivot tables, VLOOKUP, conditional formatting, and data modeling.
  • Exceptional organizational skills and the ability to manage multiple priorities in a fast-paced environment.
  • Excellent written and verbal communication skills, with the ability to interface with technical and non-technical teams.
  • Ability to work independently, meet deadlines, and proactively drive process improvements.
Benefits
  • Health insurance
  • 401(k) matching
  • Flexible work hours
  • Paid time off
  • Remote work options

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
medical billingRCM operationsproject managementdata modelingfinancial forecastingvariance analysisclaims submissiondenial managementappeals workflowsdashboard development
Soft skills
organizational skillscommunication skillscollaborationproblem-solvingindependencetime managementprocess improvementpresentation skillsattention to detailleadership
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