Lead Claims Analyst
OneImaging
WorldwideFully remoteFull TimeSeniorHealthcare & Telemedicine
USD 60,000–80,000 a yearPosted 6 days ago6d agoApply link checked 3 hours ago
Why we think you can apply
- Hiring model
- Open worldwide · the employer states no country restriction
- Work from
- Anywhere, the UAE included
Posted 6 days ago · apply link checked 3 hours ago
About the role
Responsibilities
- Own claims adjudication and QA
- Lead denials management and root cause analysis
- Manage EDI and clearinghouse workflows via Waystar
- Safeguard cost-share and accumulator accuracy
- Monitor accounts receivable and claims aging
- Develop and maintain reporting dashboards and KPIs
- Coordinate across prior authorization and finance teams
- Document repeatable SOPs and mentor analysts
Requirements
- 4+ years in healthcare claims, revenue cycle, or medical billing
- Deep hands-on experience with EDI transactions (837/835)
- Proficiency with clearinghouse platforms like Waystar
- Strong command of CPT/HCPCS, ICD-10, and modifier logic
- Working knowledge of benefit structures and cost-sharing
- Advanced spreadsheet skills
- Meticulous, audit-minded approach
Preferred Qualifications
- Experience at a TPA, benefits administrator, or payer
- Familiarity with prior authorization tools like Infinx
- Exposure to appeals and underpayment recovery at scale
- Experience in early-stage or high-growth environments
About the Company
OneImaging provides a concierge approach to radiology services, reducing imaging costs by 60-80% through a premium-quality network of vetted providers.
What we look for
- 4+ years in healthcare claims or RCM
- Experience with EDI transactions (837/835)
- Waystar experience preferred
- Knowledge of CPT/HCPCS and ICD-10
- Advanced spreadsheet skills
Medical BillingRevenue Cycle ManagementEDIWaystar
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OneImaging
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