Revenue Cycle Claims Manager

St. Charles Health System

Claims Manager leading billing, insurance follow-up, denial management, and revenue cycle improvement for St. Charles Health System.

Posted 8/7/2026full-timeRemote • Arizona, Florida, Idaho, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Oregon, Tennessee, Utah, Wisconsin • 🇺🇸 United StatesMid-LevelSenior💰 $85,904 - $128,856 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in revenue cycle management, including billing practices, payer reimbursement methodologies, and compliance with healthcare regulations. Proven ability to lead teams, implement process improvements, and effectively communicate with stakeholders.

Highest-signal resume keywords

Revenue Cycle ManagementLeadership ExperienceProcess ImprovementHealthcare Industry KnowledgeMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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

Hard Skills

Billing PracticesPayer Reimbursement MethodologiesData AnalysisClaim ReviewBudget DevelopmentPerformance ManagementCompliance RequirementsResearch SkillsProblem-Solving SkillsLean Methodology

Soft Skills

Strong Communication SkillsPublic SpeakingCoachingMentoringTeam Development

Tools & Technologies

Microsoft ExcelMicrosoft OneNoteMicrosoft OutlookMicrosoft TeamsMicrosoft PowerPointMicrosoft WordEpic

Certifications & Qualifications

Revenue Cycle CertificationCoding CertificationCompliance CertificationBilling Certification

Industry Keywords

Revenue CyclePatient Financial ServicesHealthcare RegulationsDenial TrendsCustomer Service Delivery

About the role

Key responsibilities & impact

Lead the daily operations of claims teams, including billing and insurance follow-up
Develop and maintain department policies, procedures, training manuals, guides, and standard work
Lead or attend huddles, staff meetings, payer meetings, clinical/support department meetings, and educational opportunities
Identify denial trends through audits, claim reviews, data analysis, research, and education
Monitor revenue cycle metrics and implement solutions involving education, IT optimization, departments, payers, and vendors
Serve as point person for claim-level escalations and present solutions to stakeholders
Support the Senior Director with budget development, monitoring, accountability, and operational targets
Manage interviewing, hiring, timekeeping, coaching, mentoring, and performance management
Direct, coach, and monitor direct reports while developing a high-performance team
Ensure direct reports meet compliance and safety requirements
Oversee customer service delivery that is timely, efficient, accurate, and promotes goodwill
Collaborate on process improvements using Lean and Value Improvement Practice concepts and tools
Maintain a safe environment and comply with applicable laws, regulations, policies, procedures, and corporate integrity requirements

Requirements

What you’ll need

Bachelor's degree in a related field required; a combination of education and relevant prior experience may substitute in lieu of a degree
Five years of applicable revenue cycle and/or patient financial services experience required
Two years of finance experience may substitute for two years of required experience
One year of leadership experience required
Ability to wear required Personal Protective Equipment (PPE)
Ability to travel to business functions, trainings, meetings, and all SCHS worksites
Advanced knowledge of healthcare industry, billing and collection practices, revenue cycle processes, and payer reimbursement methodologies
Strong communication skills, including public speaking and technical writing
Demonstrated research and problem-solving skills
Ability to operate and make decisions independently
Process improvement experience/skills
Intermediate skills in Microsoft Office applications: Excel, OneNote, Outlook, Teams, PowerPoint, and Word
Preferred: Epic and vendor management experience
Preferred: applicable revenue cycle certification including coding, compliance, and billing

Benefits

Comp & perks

Competitive Salary
Comprehensive benefits including Medical, Dental, Vision for you and your immediate family
403b with up to 6% match on Retirement Contributions
Generous Earned Time Off
Growth Opportunities within Healthcare
Remote work from an approved state
Travel to business functions/trainings/meetings and SCHS worksites