Operations Supervisor

Currance Inc•Los Angeles, CA

4d•Onsite

About The Position

This is an onsite position in LA. 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.

Requirements

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.

Nice To Haves

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

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.