Lucent Health · 3 weeks ago
Check Run Manager
United States
Full-time
Remote
Mid Level
3+ years expLucent Health combines claims management with a data-driven care management solution. The Manager- Check Run oversees the payment process for claims, ensuring accuracy and compliance while coordinating with finance, claims, and IT teams.
Health CareMedicalRisk Management
Hiring Manager
Shanin Grimmett
Responsibilities
Plan, schedule, and execute weekly, bi-weekly, and ad-hoc check runs for provider, member, and vendor claim payments
Review and reconcile payment batches to ensure accuracy of amounts, payee information, and claim data
Coordinate with claims operations to resolve any discrepancies prior to payment release
Oversee the generation of both physical checks and EFT/ACH transactions
Ensure all check runs comply with federal, state, and plan-specific payment regulations
Maintain detailed documentation for internal controls and external audits (e.g., HIPAA, SOC, NAIC)
Manage positive pay files and coordinate with banking partners to prevent fraud
Serve as the primary liaison between Claims, Finance, IT, and banking partners for payment processes
Communicate payment schedules and any delays to internal stakeholders
Support vendor and provider inquiries related to payment status or issues
Develop and maintain standard operating procedures (SOPs) for check run and payment processes
Identify opportunities to streamline workflows and improve payment accuracy and timeliness
Implement automation or system enhancements in coordination with IT and software vendors
Oversee payment processing staff (if applicable), providing training, guidance, and performance feedback
Qualification
Required
Bachelor's degree in Finance, Accounting, Business Administration, or related field; or equivalent work experience
3–5 years of experience in payment processing, accounts payable, or claims finance operations in a health insurance or healthcare environment
Strong understanding of healthcare claims payment cycles, EOB/EOP generation, and provider/member payment regulations
Familiarity with HIPAA and other healthcare compliance requirements
Proficiency with claims administration systems and accounting software (e.g., Facets, QNXT, Javelina, Great Plains, etc.)
Strong attention to detail and accuracy
Excellent communication and organizational skills
Preferred
Supervisory experience
Experience with positive pay processes and fraud prevention tools
Knowledge of electronic payment file formats (ACH, 835/ERA, 837)
Company
Lucent Health
As one of the nation’s largest independent TPAs, Lucent Health delivers vertically integrated health solutions, including plan administration, concierge care, pharmacy, and care management.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$13.5MKey Investors
Gauge Capital
2024-04-09Private Equity
2017-01-01Private Equity
2014-10-03Series Unknown· $13.5M
Leadership Team
Aadam Hussain
Chief Executive Officer
Recent News
gaugecapital.com
2025-03-07
Company data provided by crunchbase