Payer Maintenance Coordinator Lead

Employment Type: Full-time

Position Overview

At iRhythm, we are redefining how cardiac care is delivered through innovative technology and data-driven insights. Our mission is to improve patient outcomes and transform the healthcare experience. We’re looking for a strategic and experienced Payer Maintenance Coordinator Lead to join our team and help with the operational and strategic performance of our end-to-end revenue cycle (order to cash).

The Payer Maintenance Coordinator Lead plays a critical leadership support role on the payer maintenance team. In addition to managing payer contract data and ensuring configuration accuracy, this position is responsible for work distribution, team-level escalation handling, auditing activities, and supporting the development and tracking of team scorecards. The Payer Maintenance Coordinator Lead acts as a key liaison between the payer maintenance team and internal stakeholders, helping to ensure payer information is complete, accurate, and compliant—enabling clean claims and optimized revenue cycle performance. This is a hands-on role suited for someone who thrives in a detail-driven environment while supporting the operational success of others.

Our work environment is fast-paced and collaborative, driven by a passion for delivering innovations that improve the quality of health care and patient experience. We are looking for like-minded individuals to join our team today!

Responsibilities

• Accurately input and maintain payer data to support claims processing and billing accuracy.
• Review and validate payer contracts, rate tables, and related documentation for completeness.
• Maintain contract records in internal systems including Salesforce and ZIO Suite.
• Support EHR and provider onboarding by ensuring payer configurations are correctly mapped.
• Ensure all payer updates meet documentation standards for SOX compliance.
• Collaborate cross-functionally with Market Access, SPPs, Commercial Liaisons, and Billing Vendors to clarify data issues and implement corrections.
• Distribute and oversee daily/weekly payer maintenance tasks across the team.
• Serve as the first line of escalation for complex or time-sensitive issues.
• Audit payer data entries to ensure completeness, accuracy, and timeliness.
• Maintain and track team metrics using a scorecard framework aligned to SLA expectations.
• Identify trends in team performance or system issues and recommend solutions.
• Assist with training new team members and support process improvement initiatives.
• Represent the payer maintenance function in cross-departmental meetings when needed.
• Perform additional duties assigned to support departmental goals and operational efficiency.

Requirements

• At least 5 years of experience in payer maintenance, healthcare billing, or claims operations.
• Experience with denial codes, reimbursement trends, and claims adjudication workflows.
• Familiarity with billing workflows, documentation standards, and reimbursement practices.
• Proficient in Microsoft Excel and CRM systems (Salesforce preferred).
• Detail-oriented with a strong sense of urgency and accountability.
• Ability to co-lead payer initiative projects and execute associated tasks.

Ways To Stand Out

• Advanced proficiency in Microsoft Excel (validation, audits).
• Strong working knowledge of Salesforce or similar CRM/data platforms.
• Understanding of payer structures, contracts, and rate mapping.

Company Information

iRhythm is shaping a future where everyone, everywhere can access the best possible cardiac health solutions. Every day, we collaborate, create, and constantly reimagine what’s possible. We think big and move fast, driven by our commitment to put patients first and improve lives. We need builders like you. Curious and innovative problem solvers looking for the chance to meaningfully shape the future of cardiac health, our company, and your career.