Operations Supervisor

Job Overview

The Operations Supervisor provides direct leadership in the support of the business office functions of accounts receivables management follow-up, and cash management. This position is accountable for daily oversight of claim resolution activities and cash management, including payer engagement, edits, denials, appeals, adjustments, cashiering, lockbox management, electronic and manual payment capture and reconciliation, all while ensuring productivity, accuracy, and compliance with payer and organizational standards. The role focuses on performance & metric management, staff development, and process improvement.

Job Duties & Responsibilities

· Supervise and manage daily operations of the follow-up/collection and cash management team. 

· Manage accounts receivables strategy deployment to ensure inventory worked appropriately to support cash and reduction of AR. · Monitor performance of vendors supporting accounts receivables to ensure SOW and performance expectations are met. 

· Ensure appropriate follow-up timelines and processes are adhered to per payer specific criteria. 

· Provide mentoring to staff to ensure resolution of billing and payment disputes 

· Detailed knowledge of payor contracts for disputes and payment accuracy 

· Identifies and works to resolve root causes of issues delaying payment 

· Provide trending of payer related obstacle to account resolution. Work with payer relations to support payer meetings. 

 · Escalate accounts to insurance when needed for immediate payment 

· Collaborate with Revenue Integrity in the support of underpayments and payor appeals resolution timely

· Ensure adjustment management process is adhered to support clean accounts receivables

 · Ensure AR is being adjusted timely to reduce AR days 

· Responsible for daily, weekly, monthly management of collections and outcomes 

· Monitors employees’ productivity to ensure quality and quantity objectives are maintained. Work with HR to develop performance optimization plans. 

 · Provide a collaborative environment of learning and root cause supporting of the team. Conduct weekly team and individual staff meetings 

· Provides constructive feedback to staff 

· Collaborate with Billing Supervisor to resolve factors impacting clean claim submission. 

· Collaboration with the BO Vendor Management Supervisor 

· Perform weekly trending analysis to identify productivity challenges, denials and appeals and support AR age trending.

· Supervise cash posting and cashier positions to ensure all payments are posted and reconciled daily. 

· Support month end reconciliation management. 

· Ensure electronic payment model is supporter; ensure payers are enrolled where applicable 

· Supervise Credit balance, refunds and payment posting process 

· Responsible for timely management of adjustments including weekly reporting of pending adjustments and weekly/monthly adjustment reporting by reason and dollar. 

· Collaborate with Trainer to identify team growth opportunities and training execution. 

· Support patient escalation related to accounts receivables management.

Qualifications

 · High school diploma or equivalent required; Associate degree preferred.

· Bachelor’s degree in healthcare management or a related field is preferred.

· CRCR certification required or must be obtained within 90 days of hire.

· At least 3 years in a supervisory or leadership role.

· At least 3 years of experience securing medical claim payments from health insurance companies, including managing claim follow-up and appeals with healthcare vendors or providers.

· Proven experience with complex insurance claims, high-value denials, and escalation strategies to secure payment.

· Experience with EMR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or similar platforms for billing and account resolution.

· Detailed understanding of payer models, Payer follow up, collection regulations

· Experience with Medi-Cal & Managed Medic-Call Follow Up

· Proficiency in Microsoft Office Suite, Teams, and various desktop applications. 

Knowledge, Skills, and Abilities

· Comprehensive understanding of healthcare revenue cycle administration, including CMS rules, HIPAA, payer rules, CARC/RARC codes, denial and appeal workflows, and claim resolution processes.

· Strong analytical skills, with proficiency in monitoring and interpreting productivity and quality metrics.

· Proficiency in time management, continuous performance improvement, management, leadership, written and verbal communication, basic math, computing, problem-solving, interpersonal communication, Microsoft Office, decision-making, and ethics.

· Ability to initiate and carry through on projects independently.

· Proficiency in monitoring and analyzing productivity and quality metrics.

· Willingness and ability to learn new software applications and processes.

· Ability to coach, mentor, and develop staff across multiple levels.

· Consistently positive attitude and professional demeanor.

· Eagerness to learn and grow professionally.

· Receptiveness to feedback and commitment to continual improvement.

· Professional interaction with colleagues at all times.

· Reliability, punctuality, and adaptability to change.

· Ability to demonstrate accountability, responsibility, and achievements within the revenue cycle.

· Strong written and verbal communication skills for staff and leadership interactions.

· Ability to manage competing priorities while maintaining accuracy and timeliness.

· Ability to foster teamwork, accountability, and a positive work environment. 

Disclosure Statement:

As part of the Currance application and hiring experience, all candidates are subject to a criminal background check and a government exclusion check. The government exclusion check is a mandatory screening process that verifies whether an individual is listed on federal or state exclusion or watchlists, including but not limited to, the Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) and the System for Award Management (SAM.gov).

These screenings are conducted to ensure compliance with applicable federal and state laws and regulations, to protect the integrity of federally funded programs, the clients we support, and to prevent participation by individuals who are excluded due to fraud, abuse, or other misconduct. By submitting an application, candidates acknowledge and consent to these checks as a condition of employment or engagement.