Supervisor, Complex Claims
About The Position
R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Supervisor, Complex Claims (Revenue Cycle Operations), you will help ensure daily execution, team accountability, and timely complex claims resolution for assigned client hospital accounts. Every day you will supervise and support team members in meeting productivity, quality, and revenue goals; monitor work queues, claims inventory, and performance metrics to address barriers and prioritize work; and provide hands-on coaching, issue resolution, and escalation support for complex payers and claim challenges. To thrive in this role, you must be an organized, detail-oriented frontline leader who can coach effectively, reinforce process adherence, and respond quickly to operational issues in a high-volume environment.
Requirements
- Associate or Bachelor’s degree or equivalent combination of education and relevant experience
- 3–5 years of revenue cycle experience, preferably in complex claims, billing, appeals, or collections
- 1+ year of lead, acting supervisor, or people leadership experience preferred
- Working knowledge of payer processing, reimbursement methodologies, and claims resolution strategies
- Experience using analytics or reporting tools; Power BI exposure preferred
Responsibilities
- Providing day-to-day leadership and coaching for Complex Claims team members
- Managing inventory and workflow priorities to support timely claim resolution and revenue realization
- Tracking productivity, aging, recovery, quality, and compliance metrics to identify trends and risks
- Reinforcing standardized workflows, payer guidelines, and compliance expectations through training and feedback
- Escalating systemic issues and recommending process improvements based on frontline observations
Benefits
- annual bonus plan at a target of 5.00%
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
