Supervisor, Revenue Cycle

Heritage Health Network•Riverside, CA

22h•Remote

About The Position

The Supervisor, Revenue Cycle oversees day-to-day billing coordinator operations and directly contributes to claim submission, denial resolution, and AR follow-up. This is a remote position. The role is accountable for team-level delivery on clean claim rate, denial management, timely filing, and AR targets. Hands-on, active RCM billing experience is a non-negotiable requirement for this role.

Requirements

Production-level proficiency in Office Ally and Availity — able to step into any coordinator queue and execute.
Working knowledge of eClinicalWorks (eCW) or comparable EHR.
Full command of the claim lifecycle: eligibility, coding, modifiers, submission, denial, appeal, and posting.
Medi-Cal billing rules; experience across ECM, CalAIM, and managed care programs.
Microsoft Excel and Google Workspace for AR, production, and denial reporting.
Proven ability to supervise, coach, and hold staff accountable while maintaining personal production.
Written communication for coaching documentation, denial appeal letters, and payer correspondence.
Hands-on, active RCM billing experience is a non-negotiable requirement for this role.

Nice To Haves

Direct experience in ECM, CalAIM, or Community Supports.
Familiarity with IEHP, Molina, CalOptima, Health Net, and Anthem portals and requirements.
Experience with capitated PMPM and per-encounter billing models.
Experience reading Power BI or comparable BI dashboards.
Medi-Cal or managed care experience preferred.
Revenue cycle or billing credential preferred.
Bachelor’s degree preferred.
California residency preferred.

Responsibilities

Supervise billing coordinators daily — queue assignments, workflow oversight, and productivity.
Conduct first-line quality review on flagged claims; enforce documentation and coding standards.
Monitor payer timely filing windows; ensure no claim expires due to late submission.
Own denial triage, assignment, and resubmission workflow; escalate systemic trends to the Manager with root cause documentation.
Drive AR follow-up across the team with focus on 30+ and 90+ day buckets.
Support weekly AR reconciliation, rate validation, and month-end close activities.
Enforce note-lock compliance with Clinical Operations; run month-end sweep to close with zero unbilled encounters.
Lead daily huddles and weekly 1:1s; deliver coaching, written feedback, and performance documentation.
Partner with the Manager on coordinator onboarding and ongoing training.
Step in to produce claims, work denials, and follow up on AR when volume or staffing requires; maintain audit-ready records.