Claims Resolution Supervisor

Innovative Hematology, Inc.•Indianapolis, IN

About The Position

The Claims Resolution Supervisor provides day-to-day leadership and operational oversight for post-billing claim resolution across clinic and pharmacy revenue streams. The role oversees claim follow-up, denial and rejection resolution, appeals, underpayment recovery, payer correspondence, aging reduction, and timely escalation of high-risk accounts. Reporting to the Billing Operations Manager, this position works as a peer to the Billing & Coding Supervisor and partners with that role to coordinate the handoff from accurate claim submission through final adjudication and payment. The Supervisor develops staff, manages work queues and priorities, monitors key performance indicators, identifies root causes, and leads process improvements to accelerate cash, reduce avoidable denials, and strengthen payer accountability. The position is open to residents of Indiana and requires routine presence at IHI’s Center in Indianapolis, with the frequency of on-site presence dependent on role and department needs. Employees must enable multi-factor authentication using a personal smartphone or smart device to access IHI systems.

Requirements

High school diploma or GED.
Five to seven years of progressive healthcare revenue-cycle experience with substantial responsibility for claims follow-up, denials, appeals, underpayments, and accounts receivable.
Prior supervisory or team-lead experience.
May substitute a post-secondary medical claims billing, coding, health information, or revenue-cycle degree or certificate for up to three years of work experience.
Must enable multi-factor authentication using a personal smartphone or smart device to access IHI systems.
Must be a resident of Indiana.

Nice To Haves

Associate or bachelor’s degree in healthcare administration, business, health information management, finance, or a related field.
Revenue-cycle certification such as CRCR, CPB, CPC, or an equivalent credential.
Specialized training in denial management, payer appeals, contract reimbursement, or specialty pharmacy revenue cycle.
Experience supporting both clinic/professional and pharmacy or specialty pharmacy claims.

Responsibilities

Supervise claims-resolution staff, including scheduling, timekeeping, workload allocation, coaching, quality oversight, and performance management.
Ensure clinic and pharmacy claims are followed, corrected, reconsidered, appealed, escalated, and resolved within payer and organizational deadlines.
Review complex, high-dollar, aged, denied, rejected, underpaid, recouped, or otherwise at-risk claims and determine the appropriate resolution path.
Validate the accuracy and completeness of account activity, payer correspondence, appeal support, expected reimbursement, adjustments, and final disposition documentation.
Escalate payer processing failures, contractual disputes, access barriers, and material financial risks through established internal and external channels.
Analyze operational and financial performance and take action to reduce aging, improve recoveries, accelerate cash, and prevent recurrence.
Collaborate with the Billing & Coding Supervisor and teams across Revenue Cycle, Clinic, Pharmacy, Finance, Compliance, Information Technology, and other departments.