Drive measurable improvements in clean claims rate, denial reduction, AR days, and cash flow ... Analyze payer performance trends and implement corrective strategies. * Strengthen enterprise ...
Drive measurable improvements in clean claims rate, denial reduction, AR days, and cash flow ... Analyze payer performance trends and implement corrective strategies. * Strengthen enterprise ...
AR Specialist
Indianapolis, IN · On-site +1
$19.25 - $25.50/hr
Utilize denial management platforms for submission of appeals, reconsideration requests, etc ... Remote
AR Specialist
Indianapolis, IN · On-site +1
$19.25 - $25.50/hr
Utilize denial management platforms for submission of appeals, reconsideration requests, etc ... Remote
Communicates approval or denial determinations made on retrospective administrative outpatient ... Good research and analytic skills per employee work history. Proven ability to work independently.
Communicates approval or denial determinations made on retrospective administrative outpatient ... Good research and analytic skills per employee work history. Proven ability to work independently.
$20 - $25/hr
Analyze and process a variety of complex medical claims in accordance with program policies and ... PM18 #remote Compensation details: 20-25 Hourly Wage PI7b2168056656-25405-40643309
New
$20 - $25/hr
Analyze and process a variety of complex medical claims in accordance with program policies and ... PM18 #remote Compensation details: 20-25 Hourly Wage PI7b2168056656-25405-40643309
New
Senior Surety Claim Adjuster
Carmel, IN · On-site +1
$83.08K - $127.95K/yr
... analysis, settlement, and when applicable, denial within authority limits, time standards and ... regional offices or remote within our territory. In exchange for your talents, FCCI offers ...
Senior Surety Claim Adjuster
Carmel, IN · On-site +1
$83.08K - $127.95K/yr
... analysis, settlement, and when applicable, denial within authority limits, time standards and ... regional offices or remote within our territory. In exchange for your talents, FCCI offers ...
Prepare reports and maintain documentation related to utilization review, denial management, and ... Ability to analyze patient care data, develop criteria, and apply patient care methodologies.
Prepare reports and maintain documentation related to utilization review, denial management, and ... Ability to analyze patient care data, develop criteria, and apply patient care methodologies.
Director of Billing, RCM
Indianapolis, IN · On-site +1
Strong knowledge of claim submission, payer requirements, and denial management * Experience ... Remote opportunities are available to candidates who reside in the following states: AL, AZ, AR, CA ...
Director of Billing, RCM
Indianapolis, IN · On-site +1
Strong knowledge of claim submission, payer requirements, and denial management * Experience ... Remote opportunities are available to candidates who reside in the following states: AL, AZ, AR, CA ...
RCS Quality Expert CC
Indianapolis, IN · On-site +1
$17.25 - $23.25/hr
Flexible M-F Remote/Hybrid - Majority remote; on-site for quarterly meetings This position exists ... Requires a high level of interpersonal, problem solving, and analytic skills. * Requires effective ...
RCS Quality Expert CC
Indianapolis, IN · On-site +1
$17.25 - $23.25/hr
Flexible M-F Remote/Hybrid - Majority remote; on-site for quarterly meetings This position exists ... Requires a high level of interpersonal, problem solving, and analytic skills. * Requires effective ...
Billing Specialist
Indianapolis, IN · On-site +1
$18.50 - $24.75/hr
... analytics, and enabling value-based care. With patent-pending solutions and the largest published ... Generous Health, Denial & Vision benefits package * 401k + Matching Job Type: Full-time, Hourly ...
Billing Specialist
Indianapolis, IN · On-site +1
$18.50 - $24.75/hr
... analytics, and enabling value-based care. With patent-pending solutions and the largest published ... Generous Health, Denial & Vision benefits package * 401k + Matching Job Type: Full-time, Hourly ...
Reconciliation Specialist
Indianapolis, IN · On-site +1
... analytics, and enabling value-based care. With patent-pending solutions and the largest published ... Generous Health, Denial & Vision benefits package * 401k + Matching Job Type: Full-time, Hourly ...
Reconciliation Specialist
Indianapolis, IN · On-site +1
... analytics, and enabling value-based care. With patent-pending solutions and the largest published ... Generous Health, Denial & Vision benefits package * 401k + Matching Job Type: Full-time, Hourly ...
Remote Denial Analyst information
What are the key skills and qualifications needed to thrive as a Remote Denial Analyst, and why are they important?
What are some common challenges faced by Remote Denial Analysts and how can they be managed?
What are Remote Denial Analysts?
What is the difference between Remote Denial Analyst vs Remote Claims Processor?
| Aspect | Remote Denial Analyst | Remote Claims Processor |
|---|---|---|
| Primary Role | Review and analyze insurance claim denials to determine validity and suggest resolutions. | Process and review insurance claims for accuracy, completeness, and approval. |
| Required Credentials | Knowledge of insurance policies, claims processing, and denial reasons; certifications like CPC or CPC-H are common. | Basic understanding of insurance claims; certifications are often similar but less specialized. |
| Work Environment | Remote, often in healthcare or insurance companies, focusing on claims review. | Remote or office-based, handling claims data and customer interactions. |
While both roles involve insurance claims, the Remote Denial Analyst specializes in reviewing denied claims to identify issues, whereas the Remote Claims Processor handles the overall processing and approval of claims. The Denial Analyst requires more expertise in denial reasons and related certifications, making it a more analytical role focused on resolution.
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Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 7 days ago
Brightli rating
7.6
Based on 16 frontline employees who took The Breakroom Quiz
Job description
Job Description:
Chief Revenue Officer (CRO)- REMOTE
Build. Scale. Transform.
We are searching for abold, growth-oriented Chief Revenue Officerwho thrives on building high-performing organizations and transforming revenue performance at scale.
Centerstone operates across multiple states and generatesover $1B in annual revenue, and we are entering a new phase of strategic growth. The CRO will play a central role inbuilding the next generation of enterprise revenue strategy.
Reporting directly to the CFO, this leader will bring togetherrevenue cycle operations, payer strategy, analytics, and growth initiativesinto one unified enterprise approach.
This is a role for atrue builder-someone who sees opportunity in complexity and knows how to turn strategy into measurable results.
What You'll Own
- Enterprise revenue strategy across a$1B+ healthcare system
- Negotiation of high-impactMedicaid, Medicare, and commercial payer contracts
- Development ofvalue-based reimbursement models
- End-to-end revenue cycle performance across multi-state operations
- Optimization of reimbursement, cash flow, and revenue integrity
- Alignment of revenue strategy withmarket expansion and service line growth
What Success Looks Like
- Higher clean claims rates
- Reduced denials
- Faster AR performance
- Stronger payer relationships
- Increased reimbursement performance
- A high-performing, data-driven revenue organization
The Leader We're Looking For
- Astrategic thinker with operational discipline
- Abuilder who has scaled revenue operations in large healthcare organizations
- Comfortable navigatingcomplex payer environments and multi-state regulations
- Driven bydata, results, and continuous improvement
- A leader who builds strong teams and creates accountability across the enterprise
Experience
- 10+ years of executive leadership inrevenue cycle, managed care, or payer strategy
- Experience leading revenue operations in$500M+ healthcare organizations
- Deep expertise inMedicaid reimbursement and payer contracting
- Strong operational command ofEHR-integrated revenue cycle systems
If you're adriven healthcare executive ready to lead enterprise revenue transformation, we want to connect.
Job Summary:
The Chief Revenue Officer (CRO) is a corporate officer responsible for the strategic direction, performance, and integration of all revenue-related functions across the enterprise reporting to the CFO. The CRO will unify strategy, operations, and technology across revenue cycle, payer contracting, credentialing, onboarding, billing, collections, and value-based payment models.
Essential Job Functions:
Enterprise Revenue Strategy
Develop and execute a unified revenue strategy across a $1B multi-state system.
Lead payer negotiation strategy across Medicaid, Medicare, and commercial contracts, including complex and value-based arrangements .
Partner with executive leadership on long-term revenue projections, growth strategy, and market expansion.
Revenue Cycle & Operations
Oversee end-to-end revenue cycle operations including patient access, centralized onboarding, billing, collections, reimbursement analytics, and revenue integrity .
Standardize workflows and optimize performance across multiple EHR platforms.
Drive measurable improvements in clean claims rate, denial reduction, AR days, and cash flow.
Ensure audit readiness and regulatory compliance across all states of operation .
Managed Care & Payer Relations
Lead strategic relationships with managed care organizations and state Medicaid entities .
Analyze payer performance trends and implement corrective strategies.
Strengthen enterprise positioning in network participation and reimbursement competitiveness.
Growth, Marketing & Market Position
Align revenue strategy with service line growth, capacity planning, and market demand .
Collaborate with leadership on business development, sales planning, and client retention initiatives.
Leadership
Build and mentor a high-performing revenue organization.
Serve as a key member of the senior leadership team, participating in executive and board-level strategy discussions .
Foster a culture of accountability, transparency, and continuous improvement.
Supervisory Requirements:
Communicate the strategic direction of the organization and encourage participation by all team members.
Provide leadership and guidance to all aspects of the department.
Take an active role in monitoring the identification, development, and execution of strategic objectives.
Involve, as appropriate, all team members to achieve goals.
Effectively communicate to team members any changes and newsworthy events within the department or company.
Handle difficult team member situations directly, using appropriate discretion and Human Resource advice to show respect for the individual
Champion change and effectively manage the implementation of new ideas.
Reinforces team approach throughout functions; support and solicit input from team members at all levels within the company.
Employment Requirements:
Successful completion of background check including criminal record, driving record, abuse/neglect and fingerprint check.
Completion of New Hire Orientation at the beginning of employment.
All training requirements including Relias at the beginning of employment and annually thereafter.
Current driver's license, acceptable driving record and current auto insurance.
Physical Requirements:
ADA Consideration - Sedentary work: Exerting up to 10 pounds of force occasionally (exists up the 1/3 of the time) and/or a negligible amount of force frequently (exists 1/3 to 2/3 of the time) to lift, carry, push, or pull, or otherwise move objects, including the human body. Repetitive movements of hands, fingers, and arms for typing and/or writing during work shift.
Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.
Position Perks & Benefits:
Paid time off: full-time employees receive an attractive time off package to balance your work and personal life
Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
Top-notch training: initial, ongoing, comprehensive, and supportive
Career mobility: advancement opportunities/promoting from within
Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness


Brightli is on a Mission:
A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.
As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.
We are an Equal Employment Opportunity Employer.
Brightli is a Smoke and Tobacco Free Workplace.