Claims Operations Senior Manager (Remote)

About This Claims Operations Senior Manager (Remote) Role

improve performance and scalability is hiring for a Claims Operations Senior Manager (Remote) position connected to Remote (USA). This Bellencia Career Hub summary translates the original job posting into a structured, easier-to-scan career lead for job seekers comparing remote, hybrid, back-office, healthcare, billing, and administrative opportunities.

The role appears to focus on accurate account work, structured documentation, research, and timely follow-through. Candidates should review the official posting carefully before applying because employer needs, schedules, location rules, and application requirements can change.

Key Responsibilities

Daily Work You May Handle

• Review claims operations to identify payment accuracy issues
• Analyze claims workflows and operational processes
• Investigate root causes of payment and process discrepancies
• Design and implement workflow improvements
• Develop AI-enabled and automated operational solutions
• Partner with Product, Engineering, Data, and Operations teams
• Lead organizational change initiatives
• Improve operational efficiency, accuracy, and scalability
• Develop and execute strategic operational roadmaps
• Monitor performance metrics and operational outcomes

The core workflow centers on accuracy, research, and keeping accounts or records moving through the correct process. A strong applicant should be comfortable reviewing details, comparing information across systems, updating records, and documenting outcomes in a way that supports clean handoffs between departments.

Minimum Requirements

Education, Experience, and Technical Knowledge

• Required
• Bachelor’s degree or equivalent experience
• Minimum 5 years of operational leadership experience
• Strong analytical and problem-solving skills
• Experience managing complex operational workflows
• Exceptional attention to detail
• Strong written and verbal communication skills
• Experience leveraging data to drive business decisions

For this type of role, employers often look for a mix of practical experience, system confidence, and the ability to understand payer, billing, account, or documentation rules. Even when the role is not heavily phone-based, communication still matters because the work may involve coordination with internal teams, management, or partner departments.

Phone Level and Work Style

Bellencia phone-level estimate: Low phone. This classification is based on the wording in the pasted posting. Because this is an estimate, applicants who need non-phone or low-phone work should confirm phone expectations during the interview. The posting reads most strongly as Claims work with a focus on written records, account review, payer details, research, and follow-up.

Pay, Schedule, and Location Details

Pay: $105,000 – $150,000. Schedule: not clearly listed. Job type: Full-time. Location or work arrangement: Remote (USA). Applicants should verify the official application page for the most current pay range, benefits, shift expectations, equipment rules, and state eligibility requirements.

Best-Fit Applicant Profile

This role may be a good match for someone who enjoys detailed, process-driven work and can stay consistent with repetitive but important tasks. It may fit job seekers with experience in medical billing, revenue cycle, accounts receivable, claims, refunds, charge capture, payer research, payment posting, documentation review, insurance eligibility, or healthcare administrative support.

• You are comfortable researching account details and correcting issues before they become larger problems.
• You can follow written procedures and keep documentation clean, accurate, and audit-ready.
• You prefer structured back-office work over sales-driven or heavy call-center duties.
• You can manage confidential information professionally and escalate unclear issues when needed.

Resume Keywords to Consider

Relevant resume keywords may include Claims Operations Senior Manager (Remote), Medical / Healthcare, Claims, documentation, account research, workflow queues, Excel, payer requirements, reconciliation. Use only the keywords that honestly match your experience. The strongest applications usually connect past duties directly to the employer’s listed responsibilities.

How to Apply

Use the official application link for this job posting when you are ready to apply. Before submitting, review the required experience, confirm the schedule, and tailor your resume summary and bullet points toward the highest-priority duties in this listing.

Bellencia adds this expanded review so job seekers do not have to decode a long employer posting from scratch. The goal is to make the role easier to compare against your preferred work style, phone tolerance, schedule needs, and long-term career direction.

For healthcare revenue roles, accuracy can matter just as much as speed. Small errors in demographics, payer details, codes, account notes, or claim status can affect downstream billing and resolution, so applicants should be prepared for careful review and quality-focused production goals.