Revenue Cycle Operations Lead

Nevada Pediatric Specialists•Henderson, NV

13d•$22 - $28•Onsite

About The Position

Nevada Pediatric Specialists is seeking a highly organized and proactive Revenue Cycle Operations Lead to support our growing Revenue Cycle Department. This role serves as a key operational resource by assisting with billing operations, payer research, appeals tracking, reporting, staff training, workflow improvement, and departmental process management. The ideal candidate has medical billing or revenue cycle experience, strong follow-through, excellent organizational skills, and the ability to independently research and solve problems before escalating issues.

Requirements

Minimum 3 years of medical billing, revenue cycle, insurance, or healthcare operations experience
Strong knowledge of commercial insurance, Medicaid, and medical billing processes
Excellent Excel, Outlook, and Microsoft Office skills
Strong attention to detail and organizational skills
Ability to manage multiple priorities independently
Excellent written and verbal communication skills

Nice To Haves

eClinicalWorks experience
Appeals and denial management experience
Experience creating SOPs and training materials
Pediatrics experience
CPC certification (preferred but not required)

Responsibilities

Support billing and coding staff with workflow and operational questions
Research payer policies, billing requirements, and reimbursement guidelines
Track and follow up on appeals, denials, and outstanding payer issues
Run recurring reports and maintain department dashboards and trackers
Create and maintain SOPs, training materials, and workflow documentation
Coordinate onboarding and training support for new staff
Maintain department workflows, project trackers, and follow-up logs
Assist with medical record requests, credentialing documentation, and administrative projects
Identify process improvement opportunities and help implement solutions
Serve as a resource for staff while promoting accountability and consistency