Description
SUMMARY OF POSITION
This role leads high-impact revenue recovery efforts focused on complex, aged, and escalated claims. The Supervisor I – Revenue Recovery is responsible for driving results on post-IDR (61+ days), stalled payer claims, and other high-value recovery opportunities. This position owns special projects, removes barriers to payment, and works directly with payors to resolve large-dollar accounts. In addition, this role is responsible for developing and leading Collections Supervisor II and Team Leads, ensuring alignment, accountability, and continuous improvement across the team.
ESSENTIAL JOB DUTIES
A. Revenue Recovery & Special Projects
· Lead recovery efforts on aged accounts, with a primary focus on post-IDR claims 61+ days past determination.
· Own and resolve complex payer issues, including delayed payments, underpayments, recoupments, and escalated disputes.
· Focus on high-dollar accounts and revenue that is stalled at the payer level.
· Identify and remove barriers to payment by analyzing claim issues, payer trends, and internal process gaps.
· Monitor and analyze recovery performance metrics, ensuring accountability for results and timely claim resolution.
· Develop, coach, and lead Collections Supervisor II and Team Leads to ensure strong performance, alignment, and accountability.
· Establish and communicate clear expectations, goals, and performance standards for direct reports.
· Drive continuous improvement initiatives to optimize workflows and enhance recovery outcomes.
· Collaborate cross-functionally with billing, coding, compliance, and leadership teams to resolve systemic reimbursement issues.
· Ensure compliance with organizational policies, payer requirements, and applicable regulatory standards.
· Assist in both external and internal audits related to revenue recognition, financial reporting, and compliance.
· Conduct random audits of training folders/duties.
MARGINAL/NONESSENTIAL JOB DUTIES/OTHER FUNCTIONS
· Lead or participate in special projects related to revenue recovery and process improvement initiatives.
· Prepare and deliver reports, presentations, and updates to leadership on recovery progress and key trends.
· Assist in developing and implementing best practices, tools, and resources for the revenue recovery team.
· Support broader revenue cycle initiatives aimed at improving cash flow and operational efficiency.
· Participate in meetings, training sessions, and professional development activities.
· Provide input on system enhancements, workflow changes, or policy updates.
· Support CAMTS compliance efforts by helping ensure Patient Financial Services staff adhere to applicable standards.
· Assist with the development and implementation of billing software systems, including supporting rollout and adoption efforts.
· Perform other duties as assigned to support departmental and organizational goals.
Requirements
MINIMUM REQUIRED QUALIFICATIONS
· High School Diploma or equivalent.
· Minimum of 4 years of medical billing and coding experience, preferably overseeing revenue cycle or collections staff.
· Basic understanding of revenue cycle processes and financial concepts (AG aging, collections, denials).
· Proficiency in Microsoft Office, with working knowledge of Excel.
· Strong attention to detail.
· Effective written and verbal communication skills.
· Ability to manage multiple priorities and meet deadlines.
· Regular and reliable attendance.
PREFERRED QUALIFICATIONS
· Associate or bachelor’s degree in healthcare administration, Business, Finance, or related field.
· Advanced knowledge of the full revenue cycle, including billing, collections, denials management, and payer escalation processes.
· Experience handling complex, high-dollar, or escalated accounts, including aged AR recovery strategies.
· Prior leadership experience with responsibility for coaching or mentoring staff.
· Proficiency in financial analysis, reporting, and data interpretation, including intermediate to advanced Excel skills.
· Strong analytical mindset with a proven ability to identify trends, resolve issues, and drive process improvements.
· Exceptional communication and interpersonal skills, enabling effective collaboration with cross-functional teams, customers, and auditors.
WORKING CONDITIONS/ENVIRONMENT
· Inside, office environment.
· The majority of the workday is spent sitting at a desk or workstation, utilizing a computer for tasks such as data entry, documentation, and communication; must be able to remain in a stationary position for extended periods.
· Requires frequent use of hands and fingers to operate a computer, keyboard, and other office equipment.
· Requires the ability to read and interpret information from computer screens, documents, and other materials.
· Frequent verbal and written communication with employees, leadership, and external parties; must be able to exchange accurate information clearly and effectively.
· May require occasional extended hours or schedule flexibility to meet deadlines, support escalations, or address high-priority revenue recovery efforts.
· Occasionally required to move or lift items up to 15 pounds (e.g., files, documents, office supplies).
· Must be able to move within and access all areas of the organization’s facilities as needed.