AP Manager, Check Run

Lucent Health Solutions LLC•Nashville, TN

About The Position

About Lucent Health Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers. Company Culture We believe that the success of Lucent Health relies on having employees who are honest, ethical and hardworking. These values are the foundation of Lucent Health. Honest Transparent Communication: be open and clear in all interactions without withholding crucial information Integrity: ensure accuracy in reporting, work outputs and any tasks assigned Truthfulness: provide honest feedback and report any issues or challenges as they arise Trustworthiness: build and maintain trust by consistently demonstrating reliable behavior Ethical Fair Decision Making: ensure all actions and decisions respect company policies and values Accountability: own up to mistakes and take responsibility for rectifying them Respect: treat colleagues, clients and partners with fairness and dignity Confidentiality: safeguard sensitive information and avoid conflicts of interest Hardworking Consistency: meet or exceed deadlines, maintaining high productivity levels Proactiveness: take initiative to tackle challenges without waiting to be asked Willingness: voluntarily offer to assist in additional projects or tasks when needed Adaptability: work efficiently under pressure or in changing environments Summary: The Manager- Check Run oversees and manages the end-to-end process of generating, reviewing, approving, and distributing claim payment checks and electronic funds transfers (EFTs) for a health insurance organization. This role ensures accuracy, compliance with regulatory requirements, timeliness of payments, and coordination across finance, claims, and IT teams. They are responsible for safeguarding the integrity of payment processes, maintaining proper audit documentation, and ensuring that payments are issued according to plan sponsor agreements and company policies.

Requirements

Bachelor’s degree in Finance, Accounting, Business Administration, or related field; or equivalent work experience.
3–5 years of experience in payment processing, accounts payable, or claims finance operations in a health insurance or healthcare environment.
Strong understanding of healthcare claims payment cycles, EOB/EOP generation, and provider/member payment regulations.
Familiarity with HIPAA and other healthcare compliance requirements.
Proficiency with claims administration systems and accounting software (e.g., Facets, QNXT, Javelina, Great Plains, etc.).
Strong attention to detail and accuracy.
Excellent communication and organizational skills.

Nice To Haves

Supervisory experience.
Experience with positive pay processes and fraud prevention tools.
Knowledge of electronic payment file formats (ACH, 835/ERA, 837).

Responsibilities

Plan, schedule, and execute weekly, bi-weekly, and ad-hoc check runs for provider, member, and vendor claim payments.
Review and reconcile payment batches to ensure accuracy of amounts, payee information, and claim data.
Coordinate with claims operations to resolve any discrepancies prior to payment release.
Oversee the generation of both physical checks and EFT/ACH transactions.
Ensure all check runs comply with federal, state, and plan-specific payment regulations.
Maintain detailed documentation for internal controls and external audits (e.g., HIPAA, SOC, NAIC).
Manage positive pay files and coordinate with banking partners to prevent fraud.
Serve as the primary liaison between Claims, Finance, IT, and banking partners for payment processes.
Communicate payment schedules and any delays to internal stakeholders.
Support vendor and provider inquiries related to payment status or issues.
Develop and maintain standard operating procedures (SOPs) for check run and payment processes.
Identify opportunities to streamline workflows and improve payment accuracy and timeliness.
Implement automation or system enhancements in coordination with IT and software vendors.
Oversee payment processing staff (if applicable), providing training, guidance, and performance feedback.