Supervisor, Revenue Cycle
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<p>This is a remote position.</p> <b>The Supervisor, Revenue Cycle oversees day-to-day billing coordinator operations and directly contributes to claim submission, denial resolution, and AR follow-up. Reports to the Manager, Revenue Cycle. Accountable for team-level delivery on clean claim rate, denial management, timely filing, and AR targets. Hands-on, active RCM billing experience is a non-negotiable requirement for this role.</b><br> <br> <p>Responsibilities<br></p> <ul> <li><p>Supervise billing coordinators daily — queue assignments, workflow oversight, and productivity.<br></p></li> <li><p>Conduct first-line quality review on flagged claims; enforce documentation and coding standards.<br></p></li> <li><p>Monitor payer timely filing windows; ensure no claim expires due to late submission.<br></p></li> <li><p>Own denial triage, assignment, and resubmission workflow; escalate systemic trends to the Manager with root cause documentation.<br></p></li> <li><p>Drive AR follow-up across the team with focus on 30+ and 90+ day buckets.<br></p></li> <li><p>Support weekly AR reconciliation, rate validation, and month-end close activities.<br></p></li> <li><p>Enforce note-lock compliance with Clinical Operations; run month-end sweep to close with zero unbilled encounters.<br></p></li> <li><p>Lead daily huddles and weekly 1:1s; deliver coaching, written feedback, and performance documentation.<br></p></li> <li><p>Partner with the Manager on coordinator onboarding and ongoing training.<br></p></li> <li><p>Step in to produce claims, work denials, and follow up on AR when volume or staffing requires; maintain audit-ready records.<br></p></li> </ul> <br> <p>Skills Required<br></p> <ul> <li><p>Production-level proficiency in Office Ally and Availity — able to step into any coordinator queue and execute.<br></p></li> <li><p>Working knowledge of eClinicalWorks (eCW) or comparable EHR.<br></p></li> <li><p>Full command of the claim lifecycle: eligibility, coding, modifiers, submission, denial, appeal, and posting.<br></p></li> <li><p>Medi-Cal billing rules; experience across ECM, CalAIM, and managed care programs.<br></p></li> <li><p>Microsoft Excel and Google Workspace for AR, production, and denial reporting.<br></p></li> <li><p>Proven ability to supervise, coach, and hold staff accountable while maintaining personal production.<br></p></li> <li><p>Written communication for coaching documentation, denial appeal letters, and payer correspondence.<br></p></li> </ul> <p><br></p> <p>Preferred Qualifications<br></p> <ul> <li><p>Direct experience in ECM, CalAIM, or Community Supports.<br></p></li> <li><p>Familiarity with IEHP, Molina, CalOptima, Health Net, and Anthem portals and requirements.<br></p></li> <li><p>Experience with capitated PMPM and per-encounter billing models.<br></p></li> <li><p>Experience reading Power BI or comparable BI dashboards. <br></p></li> </ul> <p>Competencies<br></p> <ul> <li><p>Team leadership — holds coordinators to production and quality standards; models expectations through direct execution.<br></p></li> <li><p>Operational discipline — runs the queue, closes the day, owns the week.<br></p></li> <li><p>Payer fluency — maintains current knowledge of each health plan’s rules and timelines.<br></p></li> <li><p>Analytical rigor — reads production and denial reports; identifies patterns and proposes fixes.<br></p></li> <li><p>Execution under pressure — month-end close, payer deadlines, audit requests.<br></p></li> <li><p>Integrity — will not submit or allow a claim that cannot be supported by documentation.<br></p></li> </ul> <p><br></p> <br> <br> <h3>Requirements</h3> <p>Job Requirements<br></p> <ul> <li><p>Education: Associate’s degree in business, healthcare administration, or related field required; Bachelor’s preferred. Equivalent RCM experience considered.<br></p></li> <li><p>Experience: Minimum 3 years of current, hands-on RCM billing experience required — claim submission, denials, appeals, and AR. Minimum 1 year supervisory or team lead experience over billing staff required. Medi-Cal or managed care experience preferred.<br></p></li> <li><p>Certification (preferred): Revenue cycle or billing credential preferred.<br></p></li> <li><p>Schedule: Monday through Friday, 8:30 AM – 5:00 PM PST (required, non-negotiable).<br></p></li> <li><p>Travel: None. Fully remote within California.<br></p></li> <li><p>Location: California residency preferred.<br></p></li> <li><p>Compensation & Benefits: Range set by People Team, commensurate with experience. Full benefits included.<br></p></li> </ul> <br> <br> <h3>Benefits</h3> <ul> <li>Medical, dental, and vision insurance<br></li> <li>Paid time off + holidays<br></li> <li>Competitive pay<br></li> <li>Remote work flexibility<br></li> <li>Professional growth and development opportunities<br></li> </ul> <br> <br>