Posted August 23, 2026
Revenue Cycle & Claims Operations Lead
KeyStaff
Pompano Beach, FL, US
Full Time
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
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.
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.
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