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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare revenue cycle management, particularly in Insurance Discovery billing, with a strong focus on quality assurance, compliance, and performance improvement. Proficient in analyzing data to drive operational efficiencies and enhance contractor performance while ensuring adherence to HIPAA and other regulatory standards.
Highest-signal resume keywords
Healthcare Revenue Cycle ManagementQuality AssuranceData AnalysisHIPAA ComplianceMicrosoft Excel
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance Discovery BillingQuality AuditingRCM WorkflowsPerformance OversightData InsightsBilling AccuracyProcess ImprovementKPI MonitoringReporting ToolsContractor Management
Soft Skills
Strong CommunicationStakeholder ManagementProblem-SolvingDecision-MakingIndependent Work
Industry Keywords
HIPAAFCRAGLBACompliance PoliciesQuality FrameworksSix SigmaPatient Information ManagementOperational ReportsService DeliveryWorkflow Alignment
About the role
Key responsibilities & impact- Oversee daily billing operations performed by contractor resources for accuracy, timeliness, and SLA adherence
- Provide direction, guidance, and support to contractors without structured recurring 1:1 management
- Facilitate onboarding, process training, system access coordination, and workflow alignment for new contractors
- Act as an escalation point for operational questions, workflow clarification, and issue resolution
- Address customer questions and issues and align service delivery with client expectations
- Partner with internal stakeholders and customer teams to resolve billing discrepancies and improve outcomes
- Conduct and oversee targeted quality audits across Insurance Discovery billing activities
- Analyze audit results to identify trends, risks, and improvement opportunities
- Provide feedback and recommendations to contractors and leadership to improve accuracy and reduce errors
- Support post-training and onboarding quality reviews
- Ensure billing activities comply with HIPAA, payer guidelines, and company standards
- Validate insurance identification and billing practices and escalate compliance gaps
- Prepare and review operational and quality reports tracking productivity, accuracy, and trends
- Monitor KPIs and SLAs and identify areas requiring intervention
- Use data insights to guide process improvements and contractor performance expectations
- Collaborate with QA, Compliance, Training, and Client Services
- Provide leadership updates on performance, risks, and improvement initiatives
- Recommend and support workflow, billing accuracy, efficiency, and quality-control improvements
- Promote accountability, compliance, and high-quality output across contractor teams
Requirements
What you’ll need- Bachelor’s degree preferred; equivalent experience considered
- 4–7 years of experience in healthcare revenue cycle management or Insurance Discovery billing
- Experience working with contractor or vendor-based teams preferred
- Strong background in quality assurance, auditing, or performance oversight
- Deep understanding of RCM workflows including billing, eligibility, AR, and denials
- Proven ability to analyze data and drive performance improvements
- Strong communication and stakeholder management skills
- Proficiency in Microsoft Excel and reporting tools
- Experience supporting remote, distributed teams
- Knowledge of quality frameworks (e.g., Six Sigma or similar)
- Ability to work independently while managing multiple priorities
- Strong problem-solving and decision-making capabilities
- Must adhere to HIPAA, FCRA, GLBA, and other applicable laws and company compliance policies
- Must handle patient information in a HIPAA-compliant manner and maintain confidentiality obligations
Benefits
Comp & perks- FinThrive states it offers perks and benefits, with up-to-date offerings available at finthrive.com/careers-benefits
- Equal Opportunity Employer