[Hiring] Supervisor, Revenue Cycle @Heritage Health Network

Role Description

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.

• 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.

Qualifications

• 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 plan’s 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

• Education: Associate’s degree in business, healthcare administration, or related field required; Bachelor’s 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