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