REVENUE CYCLE SUPERVISOR

Holding Hands OpCo LLC•Burbank, CA

7d•$70,000 - $75,000

About The Position

The Revenue Cycle Supervisor performs hands-on revenue cycle work while overseeing the day-to-day activities, quality, and productivity of assigned billing and collections staff. The role manages claims submission, denial resolution, payer follow-up, payment posting, authorization reconciliation, and accounts receivable priorities while serving as a working resource for the team. The supervisor is accountable for improving cash collections, reducing Days Sales Outstanding (DSO), minimizing preventable denials, and ensuring accurate and timely reimbursement for services rendered. The position combines ABA or healthcare billing expertise with practical leadership. The supervisor works claims and account balances directly, troubleshoots complex issues, coaches team members, monitors performance, and coordinates with clinical, intake, scheduling, operations, and finance teams to resolve barriers to reimbursement. The role is in Revenue Cycle Management (RCM) / Finance and reports to the VP of Finance. It provides day-to-day guidance and oversight to assigned billing, claims, and collections staff while maintaining an individual workload of operational accounts and claims.

Requirements

Strong ABA or healthcare billing expertise.
Practical leadership skills.
Hands-on experience working claims and account balances, troubleshooting complex issues, coaching team members, and monitoring performance.
Working knowledge of ABA CPT codes, including 97151–97158.
Ability to research payer-specific coding, modifier, documentation, and medical necessity requirements.
Ability to use practice management and billing platforms such as CentralReach, AlohaABA, or comparable systems.
Knowledge of HIPAA, applicable privacy requirements, payer rules, billing guidelines, and company policies.

Responsibilities

Manage a portfolio of claims, payer accounts, denials, and aged receivables, following up consistently through resolution.
Monitor the full claims lifecycle, from preparation and electronic submission through payer adjudication, payment, and resolution of outstanding balances.
Review claims for completeness and accuracy, investigate rejections or processing errors, and ensure corrections and resubmissions meet payer filing limits.
Use practice management and billing platforms to research claims, document actions, and track results.
Post or oversee accurate posting of ERA and EOB information, payments, adjustments, and approved write-offs.
Assign and balance daily work queues, payer follow-ups, denial cases, and aging accounts.
Monitor staff productivity, work quality, follow-up timeliness, documentation, and resolution rates; provide coaching and corrective guidance as needed.
Act as the first escalation point for complex claim issues, payer disputes, billing questions, and workflow barriers.
Train team members on billing procedures, payer requirements, system workflows, documentation standards, and denial resolution.
Review completed work for accuracy and consistency, reinforce accountability, and communicate priorities and performance expectations.
Lead team huddles or workflow reviews addressing backlogs, filing deadlines, high-dollar claims, and recurring issues.
Investigate and resolve denied, rejected, or underpaid claims, including issues involving modifiers, coordination of benefits, eligibility, provider credentialing, authorizations, and documentation.
Prepare, submit, and track appeals and corrected claims within payer deadlines.
Analyze denial patterns, conduct root-cause reviews, implement corrective actions, and share recurring trends with the RCM Manager and relevant departments.
Document denial notes, payer communications, corrective actions, and appeal outcomes accurately.
Reconcile services rendered against active authorizations, approved units or hours, provider credentials, and billing requirements.
Monitor authorization utilization and expiration dates, identify potentially unbillable services, and promptly escalate discrepancies.
Partner with clinical, scheduling, intake, and operations teams to resolve authorization gaps, service mismatches, and other billing barriers.
Maintain working knowledge of applicable ABA CPT codes, including 97151–97158, and research payer-specific coding, modifier, documentation, and medical necessity requirements.
Prioritize follow-up based on aging, balance, filing deadlines, and likelihood of recovery, emphasizing high-value and time-sensitive accounts.
Follow up with commercial insurers, Medicaid plans, regional centers, and other applicable funding networks regarding unpaid and aged balances.
Reconcile payments, contractual adjustments, approved write-offs, and outstanding balances; investigate underpayments and payment discrepancies.
Support patient and family billing, including copayments, coinsurance, deductibles, payment arrangements, and account inquiries, in accordance with company policy.
Identify collection risks and escalate material reimbursement delays, payer trends, and accounts requiring leadership intervention.
Prepare and maintain reports on clean claim rates, denial rates, collections, work queue status, and accounts receivable aging, including 30-, 60-, 90-day, and older balances.
Monitor team and individual performance against productivity, quality, timeliness, and collection goals.
Update the RCM Manager or finance leadership on cash collection forecasts, unresolved payer issues, backlogs, and material reimbursement risks.
Identify opportunities to improve claim accuracy, reduce avoidable denials, shorten resolution times, and strengthen revenue cycle workflows.
Help standardize procedures, checklists, and documentation practices to improve consistency, training, and operational control.
Ensure personal work and team activities follow HIPAA, privacy requirements, payer rules, billing guidelines, and company policies.
Maintain complete, accurate, and confidential billing records and supporting documentation.
Escalate suspected billing inaccuracies, authorization gaps, compliance concerns, and other high-risk issues to the appropriate leader.
Promote adherence to procedures for claim submission, appeals, adjustments, payment posting, and recordkeeping.