Supervisor, Revenue Cycle

Advanced Rx Management•Sunrise, FL

About The Position

The Revenue Cycle Supervisor will oversee the day-to-day collection activities of assigned Revenue Cycle staff supporting Workers’ Compensation, Personal Injury, and Pharmacy claims. This role is responsible for monitoring team productivity and quality, ensuring accounts are worked according to established priorities, supporting collectors with claim research and payer follow-up, and escalating complex or unresolved issues to the Revenue Cycle Manager. The Revenue Cycle Supervisor will work closely with both onshore and offshore collection resources and will serve as a key point of support between frontline collectors and Revenue Cycle management.

Requirements

  • 3+ years of healthcare revenue cycle, collections, reimbursement, or accounts receivable experience.
  • Experience with claim follow-up, denials, appeals, underpayments, and payer reimbursement.

Nice To Haves

  • 1+ years of supervisory, lead, or team leadership experience preferred.

Responsibilities

  • Supervise daily collection activities for assigned Workers’ Compensation, Personal Injury, and Pharmacy accounts.
  • Monitor collector work queues to ensure accounts are being worked according to established priorities and timelines.
  • Ensure timely and appropriate follow-up on unpaid and underpaid claims.
  • Assist collectors in prioritizing high-dollar and aged accounts according to established collection strategies.
  • Review assigned high-dollar, aged, and priority accounts to ensure appropriate collection activity is occurring.
  • Assist collectors with claim research, payer follow-up, corrected claims, resubmissions, reconsiderations, appeals, and documentation requirements.
  • Monitor assigned team performance against established daily, weekly, and monthly collection expectations.
  • Review team collection activity and identify accounts requiring additional attention.
  • Assist collectors with prioritizing accounts based on aging, balance, collectability, reimbursement opportunity, and payer requirements.
  • Monitor accounts approaching timely filing, appeal, or other payer deadlines.
  • Identify trends contributing to delayed or missed reimbursement and communicate findings to the Revenue Cycle Manager.
  • Support collectors in resolving routine payer and claim issues.
  • Assist with research of payer requirements, claim status, timely filing requirements, documentation requirements, fee schedules, and appeal processes.
  • Monitor recurring denials, underpayments, no-response claims, and other payer issues.
  • Escalate unresolved or recurring payer issues to the Revenue Cycle Manager.
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