Top 81 Claims manager Jobs in High Point, Nc

Revenue Cycle Team Lead
United Health Centers —Winston-Salem, NC
- $65,000 - $70,000 a year
- Full-time
- Background check
- Microsoft Excel
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
7d
Production Supervisor
EGGER Group —Lexington, NC
- 12 hour shift
- Ability to walk for extended periods
- Engineering
- Mid-level
Maintenance Manager
Brookdale Senior Living Inc. —High Point, NC
- $19.77 - $24.72 an hour
- Nights as needed
- Mid-level
- High school diploma or GED
- Ability to lift 50 pounds
- Health savings account
- Paid holidays
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Medical Billing (Claims) Supervisor
GT Independence —High Point, NC
- $60,000 a year
- Management
- Basic math
- Mid-level
- Paid time off
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Property & Casualty Insurance Claims Operations Consultant, Manager
PRICE WATERHOUSE COOPERS —Greensboro, NC
- $99,000 - $232,000 a year
- Mid-level
- Finance
- Bachelor's degree
- Paid holidays
- Health insurance
Revenue Cycle Manager (Senior Living)
Pennybyrn —High Point, NC
- $55,000 - $60,000 a year
- Full-time
- Microsoft Outlook
- Basic math
- Research
- Health insurance
- Dental insurance
Quick Apply
11d
District Manager
Grease Monkey #41 —Kernersville, NC
- $90,000 a year
- Full-time
- Mid-level
- Recruiting
- Leadership
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Body Shop Manager
M&L Chrysler Dodge Jeep Ram —Lexington, NC
- $100,000 - $150,000 a year
- Full-time
- Mid-level
- Mentoring
- Computer skills
- Paid holidays
- Health insurance
Quick Apply
SQL (Safety, Quality, Lean) Manager
Mazzella —Winston-Salem, NC
- Full-time
- 5 years
- Engineering
- Pass drug screening
- Disability insurance
- Health insurance
Quick Apply
7d
Field Case Manager (RN) Workers Compensation
Axiom Medical Consulting, LLC —Greensboro, NC
- $70,000 - $80,001 a year
- RN License
- Mid-level
- Organizational skills
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Benefits Manager, Human Resources
Wake Forest University —Winston-Salem, NC
- Full-time
- ERP systems
- System design
- HIPAA
Payroll Manager
YMCA of Northwest North Carolina —Winston-Salem, NC
- Full-time
- Microsoft Word
- CPR Certification
- Microsoft Excel
- Retirement plan
Quick Apply
EHS Site Manager
Highline Warren —Greensboro, NC
- On call
- Clean driving record
- Ability to walk for extended periods
- Mid-level
Quick Apply
Manager, AI Service Operations Transformation PMO
CVS Health —High Point, NC
- $54,300 - $159,120 a year
- Full-time
- 5 years
- Master's degree
- Bachelor's degree
- Health insurance
- Dental insurance
Technology Operations Manager
Pinnacle Environmental Management Support —Greensboro, NC
- $75,000 - $95,000 a year
- Full-time
- Azure
- Mid-level
- Office
- Paid holidays
- Dental insurance
Quick Apply
7d
Human Resources Lead
CBX Solutions —Winston-Salem, NC
- Full-time
- Hybrid work
- Ability to walk for extended periods
- 5 years
- Office
- Health insurance
- Dental insurance
Quick Apply
Field Support Manager
Maxim Healthcare —Greensboro, NC
- $60,000 a year
- Full-time
- Marketing
- Customer service
- Mid-level
- Profit sharing
- Commuter assistance
Quick Apply
Human Resources Manager - ATL
CASCADE DIE CASTING GROUP INC —High Point, NC
- Full-time
- 5 years
- Computer literacy
- Writing skills
Quick Apply
Home Care: Operations Manager - Winston Salem
Live Long Well Care —Winston-Salem, NC
- Adults
- English
- Mid-level
Quick Apply
Employee Benefits Assistant Account Manager
HUB International —Greensboro, NC
- Full-time
- Microsoft Outlook
- HIPAA
- Mid-level
- Wellness program
- Paid parental leave
7d

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Revenue Cycle Team Lead

United Health Centers -
Winston-Salem, NC

Quick Apply

Job Details

Full-time
$65,000 - $70,000 a year
7 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Employee assistance program
Vision insurance
Employee discount
Life insurance
Retirement plan

Qualifications

Revenue cycle management
Computer operation
Staff supervision
Microsoft Excel
Healthcare staff management
Medicare
Accounts receivable management
ICD-10-CM
Regulatory compliance in claims processing
Patient management software
Financial analysis
High school diploma or GED
CMS regulatory compliance
HCPCS
Medicare regulations
Electronic health record (EHR) management for billing and coding
Mentoring
Medical billing
CPT coding
Leading team collaboration initiatives
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medicaid
Productivity software
Clinical documentation standards
Managing medical billing & coding team teams
Medical debt collection accounts
Collections account management
Patient collections management

Full Job Description

Position Title: Revenue Cycle Lead

Department: Finance / Revenue Cycle

Reports To: Chief Financial Officer

FLSA Status: Exempt (Salaried)

Location: Onsite- Winston-Salem, NC

Summary

The Revenue Cycle Lead is a working supervisor responsible for the daily oversight and execution of all revenue cycle operations for our Federally Qualified Health Center (FQHC). This role provides direct supervision, training, and work direction to the Billing & Coding Specialist, ensuring the accurate and timely submission of medical, dental, and behavioral health claims in compliance with FQHC, HRSA, and payer regulations.

This is a hands-on leadership position. The Lead is the primary point of contact for resolving complex denials, payer disputes, and escalated patient financial concerns. They also perform high-level revenue cycle functions such as monitoring key performance indicators (KPIs), analyzing accounts receivable (A/R) aging reports, identifying systemic issues, and implementing process improvements. The Lead reports to the Chief Financial Officer and serves as a key strategic partner in ensuring the financial health of the practice.

Essential Functions

Supervision & Team Leadership

· Supervise, mentor, and train the Billing & Coding Specialist, providing daily work direction and serving as the first point of contact for questions and escalations Conduct regular one-on-one meetings, provide coaching and performance feedback, and assist with annual performance evaluations

· Onboard new staff and develop training materials and job aids to ensure team proficiency in all FQHC billing and coding procedures.

· Ensure the team meets productivity and quality goals by monitoring work queues and distributing assignments effectively

· Foster a collaborative, accountable, and patient-centered work environment

Billing, Coding & Claims Operations

· Oversee the end-to-end billing process, including coding, claim submission, payment posting, and A/R management, across all service lines (medical, dental, and behavioral health)

· Ensure accurate coding of services using ICD-10, CPT, CDT, and HCPCS codes, with a strong focus on FQHC-specific encounter billing using the T1015 code

· Monitor and improve claim submission processes to ensure clean claim rates and timely filing with primary and secondary insurance carriers

· Oversee denial management, including analyzing denial trends, preparing and submitting appeal letters, and implementing corrective actions to prevent future denials

FQHC-Specific Compliance & Patient Financial Services

· Ensure full compliance with all FQHC, HRSA, CMS, and state-specific Medicaid billing requirements, including the administration of the Sliding Fee Discount Program and charity care policies

· Serve as the subject matter expert for FQHC billing regulations, including encounter-based reimbursement and UDS reporting

· Assist the Billing & Coding Specialist with complex patient account resolution, including explaining EOBs, applying sliding scale adjustments, and setting up payment plans

· Handle escalated patient calls and in-person inquiries that require supervisory review or advanced problem-solving

Revenue Analysis & Reporting

· Monitor and report on key performance indicators (KPIs), including days in A/R, denial rates, clean claim rates, and cash collections

· Produce monthly financial and operational reports for leadership, identifying trends and recommending strategic improvements

· Analyze A/R aging reports to identify underpayments and root causes of payment delays, implementing corrective actions as needed

· Conduct regular internal audits of coding and billing accuracy to ensure compliance and identify training opportunities for the Specialist

Minimum Qualifications

Education

· High school diploma or equivalent required.

· Associate degree in Business, Healthcare Administration, Finance, or a related field strongly preferred

· Bachelor's degree in a related field is a plus

Experience

· Minimum of 3–5 years of progressive experience in medical billing and revenue cycle management in a healthcare setting

· Prior experience in a Federally Qualified Health Center (FQHC) is preferred

· Supervisory, lead, or mentoring experience is required

· Demonstrated experience managing the full revenue cycle, including coding, billing, collections, denials management, and A/R follow-up

Knowledge, Skills & Abilities

· In-depth knowledge of FQHC billing practices, including T1015 encounter billing, the Sliding Fee Discount Program, and HRSA compliance requirements

· Expert proficiency in ICD-10, CPT, CDT, and HCPCS coding and documentation guidelines

· Strong understanding of Medicare, Medicaid, and commercial payer rules, regulations, and reimbursement methodologies

· Advanced proficiency with practice management systems, EMRs (e.g., eClinicalWorks preferred), clearinghouse platforms, and Microsoft Office Suite, especially Excel

· Strong analytical, problem-solving, and critical thinking skills, with the ability to interpret financial data and identify trends

· Excellent written and verbal communication skills, with the ability to explain complex information to patients with low health literacy

· Demonstrated ability to resolve patient financial concerns with professionalism, empathy, and accuracy

· Commitment to the mission of an FQHC, including providing high-quality care regardless of a patient's ability to pay

Physical Demands / Working Conditions

Work is performed in a standard office environment. This role requires frequent sitting for long periods, operation of standard office equipment (computer terminals, copiers, printers, telephones), eye-hand coordination, manual dexterity, and normal vision range. Frequent contact with patients, staff, insurance representatives, and vendors is expected. May require occasional lifting of up to 25 pounds.

Reporting Relationship

This position reports directly to the CFO. The Revenue Cycle Lead is responsible for the direct supervision of the Billing & Coding Specialist.

Pay: $65,000.00 - $70,000.00 per year

Benefits:

Dental insurance
Employee assistance program
Health insurance
Life insurance
Paid time off
Retirement plan
Vision insurance

Application Question(s):

Which Associate degree do you hold, Business, Healthcare Administration, Finance, or other related field?

Experience:

Medical billing: 3 years (Required)
Revenue cycle management: 3 years (Required)

Work Location: In person

Quick Apply

Refine Your Search

claims manager jobs in high point, nc

Revenue Cycle Team Lead

Production Supervisor

Maintenance Manager

Medical Billing (Claims) Supervisor

Property & Casualty Insurance Claims Operations Consultant, Manager

Revenue Cycle Manager (Senior Living)

District Manager

Body Shop Manager

SQL (Safety, Quality, Lean) Manager

Field Case Manager (RN) Workers Compensation

Benefits Manager, Human Resources

Payroll Manager

EHS Site Manager

Manager, AI Service Operations Transformation PMO

Technology Operations Manager

Human Resources Lead

Field Support Manager

Human Resources Manager - ATL

Home Care: Operations Manager - Winston Salem

Employee Benefits Assistant Account Manager

I want to receive the latest job alert for claims manager in high point, nc

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