Billing Operations Specialist

Alteva RCM
Queens, NY
On-siteCareer-pivot friendly

Who this role is best for

A natural match if you have experience in healthcare billing operations and strong Excel skills.

Best fit for

  • Candidates with 3–5 years in healthcare billing operations and a proven track record in process improvement
    — “3–5 years supporting billing operations, revenue cycle management, healthcare administration”
  • Professionals comfortable with data analysis and report-building using Excel for operational insights
    — “Advanced Excel proficiency (pivots, summaries, charts) and comfort building reports”
  • Individuals who can act as a liaison across multiple teams and manage stakeholder expectations effectively
    — “Serve as a liaison between Billing Department leadership, the Workflow Manager, Billing Team Managers”

Things to consider

  • This role requires attention to compliance and confidentiality with protected healthcare information
    — “Handles protected information with full compliance”
  • High emphasis on timely follow-through and action item closure rates
    — “Takes ownership and consistently follows through on billing priorities”

How to stand out

  • Highlight experience with claim lifecycle tracking and billing rule implementation in your resume
    — “Track implementation of client-specific billing rules, provider rosters”
  • Demonstrate your ability to build and maintain Excel-based dashboards and reports
    — “Build and maintain Excel-based analyses, dashboards, and reports”
  • Emphasize your experience in coordinating cross-functional teams and managing workflow blockers
    — “Serve as a liaison between Billing Department leadership, the Workflow Manager”
  • Showcase your skill in identifying systemic issues and providing data-backed insights to leadership
    — “Flag systemic issues to leadership with supporting data”
  • Include examples of managing documentation, SOPs, and version-controlled reference materials
    — “Maintain billing documentation, including SOPs, workflows, process maps”
Pace · SteadyCollaboration · HighAutonomy · MediumDecision Impact · Team

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

  • accurate and timely billing
  • reduced rework
  • clean claim submission
  • timely reimbursement
Typical background
billing operationsaccountinghealthcare revenue cycle management

Skills & requirements

Required

Billing OperationsClaim IntakeBilling SystemCoding CoordinationWorkflow ManagementProductivity IssuesWorkflow ConcernsEscalationsStaffingOnboardingPerformance EvaluationLeadership SupportComplianceQuality Assurance

Preferred

Excel-based AnalysesDashboardsReportsClaims And Ticket Data ExportsAccuracy RatesTurnaround TimeRework RateBacklog Aging

About the role

Original posting from Alteva RCM via Greenhouse

About Us

At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.

Position Summary 

The Billing Operations Specialist serves as a key operational partner to the Billing Operations Manager and Billing Department leadership, supporting the day-to-day execution of billing operations across claim intake, billing, QA, and coding coordination. This role helps ensure that claim information is received, entered into the billing system, and billed accurately and in accordance with billing and coding guidelines, healthcare regulations, and payer-specific requirements by maintaining the trackers, reporting, documentation, and follow-up that keep workflows visible and on track. The Billing Operations Specialist provides first-line triage of productivity issues, workflow concerns, and escalations, and surfaces data-backed insights to leadership — supporting clean claim submission, reduced rework, and timely reimbursement. 

Key Responsibilities 

Department Support & Accountability 

Partner with the Billing Operations Manager and Billing Department leadership to manage priorities and support day-to-day execution across billing, claim intake, and QA workflows 

Monitor output, backlog levels, queue health, and operational risks; flag systemic issues to leadership with supporting data 

Provide first-line triage of day-to-day productivity issues and workflow concerns by logging the issue, gathering details, and routing it to the appropriate team lead or the Billing Operations Manager 

Monitor urgent escalations, workflow blockers, and client-impacting issues, exercising sound judgment on when to escalate 

Support staffing, workload management, and capacity assessments by compiling volume, backlog, and coverage data for leadership review 

Support hiring, onboarding, and performance evaluation logistics, including scheduling, scorecards, and interview materials 

Coordinate leadership calendars and meetings; prepare agendas and meeting notes; and capture decisions, action items, owners, and deadlines, following through with stakeholders 

Operational Strategy & Process Improvement 

Support alignment of workflows, priorities, and performance standards across all billing and claim intake teams 

Identify bottlenecks, repeated errors, and rework drivers, and bring improvement recommendations to leadership 

Support standardization of workflows, escalation protocols, and quality controls across all billing and claim intake teams 

Build and maintain Excel-based analyses, dashboards, and reports from claims and ticket data exports (e.g., accuracy rates, turnaround time, rework rate, backlog aging) to support leadership decision-making 

Track implementation of client-specific billing rules, provider rosters, tax ID rules, directory billing guidelines, account statuses, and workflow changes 

Maintain billing documentation, including SOPs, workflows, process maps, rollout instructions, tracker standards, and version-controlled reference materials 

Compliance & Quality Assurance 

Support adherence to payer requirements, HIPAA regulations, and internal SOPs by maintaining accurate documentation and flagging potential compliance risks to leadership 

Support billing audits, QA activities, and data validation efforts, and compile audit finding trends from QA data 

Track corrective actions for identified errors or audit findings through timely completion 

Cross-Functional Collaboration 

Serve as a liaison between Billing Department leadership, the Workflow Manager, Billing Team Managers, Claim Intake Team (CIT) leadership, QA, coding, onboarding, IT/product partners, client service, and other operational teams 

Communicate billing priorities, workflow changes, deadlines, and escalation items clearly and professionally 

Document requirements and track follow-up with IT and product partners on billing platform and ticketing system requests 

Key Performance Indicators 

Accuracy and currency of trackers, SOPs, and documentation 

Timeliness and accuracy of leadership reporting and meeting materials 

Action item closure rate and timeliness 

Escalations identified and routed within expected timeframes 

Corrective action tracking and closure timeliness 

Stakeholder satisfaction with coordination and follow-through 

Experience & Requirements 

Bachelor's degree or equivalent professional experience. 

3–5 years supporting billing operations, revenue cycle management, healthcare administration, executive support, or business operations. 

Strong understanding of medical billing workflows preferred, including claim intake, coding handoffs, billing rules, provider rosters, payor requirements, documentation gaps, and claim lifecycle tracking. 

Advanced Excel proficiency (pivots, summaries, charts) and comfort building reports from data exports; proficiency with standard office productivity and collaboration tools; experience with billing, workflow, and reporting systems preferred. 

Exceptional organizational, planning, communication, follow-up, and time-management skills. 

Demonstrated ability to work independently, exercise sound judgment, protect confidential information, and deliver results with minimal supervision. 

Healthcare, revenue cycle management, specialty billing, or professional services experience strongly preferred. 

Additional Qualifications 

Working knowledge of HIPAA regulations and healthcare privacy laws; handles protected information with full compliance. 

Takes ownership and consistently follows through on billing priorities, open items, and leadership requests. 

Operates independently while knowing when billing accuracy, client communication, compliance, or workflow risk requires escalation. 

Communicates with professionalism, confidence, clarity, and persistence across billing and cross-functional teams. 

Thrives in a fast-paced billing environment with competing priorities, urgent escalations, and frequent workflow changes. 

Continuously improves processes, documentation, visibility, and accountability so the billing team can work more accurately and efficiently. 

Pay Range$90,000—$120,000 USD 

Benefits

Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.

Source: Alteva RCM careers (Greenhouse)

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