REVENUE CYCLE SUPERVISOR

Job Role Summary

The Revenue Cycle Supervisor oversees day-to-day revenue cycle operations to ensure accurate billing, timely reimbursement, and regulatory compliance. This role provides direct supervision to revenue cycle staff and serves as a working leader, supporting coding, billing, payment posting, denial management, provider enrollment, and training initiatives. The Supervisor partners closely with clinical and front desk teams to optimize revenue performance while maintaining high service standards. A strong background in medical billing and coding is required. This position is 100% onsite/in-office with standard office hours of 8:00 am to 5:00 pm Monday through Friday, with the flexibility to work Saturday hours as needed.

Essential Duties

• Supervise and mentor reimbursement staff, providing daily guidance, monitoring workload progress, and resolving issues to ensure timely completion of work
• Act as the primary liaison between frontline staff and the Manager to streamline communication and escalate complex issues
• Assist the Manager with ongoing development, interviewing, hiring, and training of reimbursement staff
• Coordinate team huddles on a designated cadence and support employee engagement initiatives
• Responsible for first-level review of staff timesheets and PTO requests

• Perform and oversee revenue cycle functions, including Action Health Center check out, billing, payment posting, claim follow‑up, denial management, and provider enrollment
• Maintain working knowledge of clinical and front‑office workflows impacting revenue
• Stay current on insurance/carrier policies and billing updates
• Maintain contact with clinic personnel to advise of current procedures and practices relevant to fee collection or insurance billing
• Cross-train in all aspects of the Reimbursement Specialist and Reimbursement Clerk roles
• Provide coverage and hands‑on support during staff absences and high‑volume periods

• Ensure accurate, compliant coding in accordance with ICD‑10‑CM, CPT, and HCPCS guidelines
• Lead chart audit reviews to ensure accurate documentation while identifying missed revenue opportunities and under-coded services

• Analyze claim denials implementing strategies to reduce recurring denials
• Assist Manager to track and analyze KPIs such as denial rates, accounts receivable (A/R) days, etc..

• Generate and analyze revenue cycle reports, including aging, denials, write‑offs, and adjustments
• Identify gaps in current revenue cycle workflows and partner with Manager to develop streamlined processes that reduce manual intervention and standardize best practices
• Assist with developing standard operating procedures and training manuals
• Provide training and in-service orientations for fee collection system, billing and coding
• Contribute to special projects aimed at improving efficiency, accuracy, and outcomes

Associated Job Duties

• Participates in public health emergency preparedness exercises and in the response to public health emergencies, as directed
• Participates in a minimum of two H.O.P.E. events totaling a minimum of eight (8) hours annually
• This job description reflects management’s assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned. The employee may be asked to perform other duties as needed to support departmental and organizational goals

Qualifications

Education:

Required

• Bachelor’s degree in Health Information Management, Business Management, Healthcare Administration, or related field

Experience:

Required

• Three (3) to five (5) years of medical billing/revenue cycle experience
• Two (2) years in a supervisory role
• Proven experience leading, training, and supporting team members in a healthcare billing environment
• Proficient knowledge of healthcare revenue cycle processes
• Strong understanding of payer guidelines and insurance claims workflows, including denials, resubmissions, and appeals
• Strong knowledge of ICD-10-CM, CPT, and HCPCS codes required
• Thorough knowledge of Medicaid and other third-party payor enrollment and billing requirements

Preferred

• Familiarity with Dental, Immunization, and Behavioral Health billing and reimbursement

Licenses/Certifications Required

Preferred

• Certification in medical coding and/or billing (CPC, CPB, or similar)

Knowledge, Skills & Abilities

• Excellent verbal and written communication skills
• Ability to coordinate with cross-functional departments and relay clear guidance to team members
• Willingness to work alongside the team and provide support during staff absences or high-volume periods

• Strong interpersonal skills and professionalism
• Ability to effectively communicate, present findings, and guide to all levels of staff
• Attention to detail with the ability to prioritize and delegate effectively
• Self‑motivated, reliable, and able to work independently when required
• Ability to learn and adapt quickly to evolving technologies and operational changes, translating them into structured training and workflow guidance for teams
• Medical terminology proficiency
• Ability to use Microsoft Office
• Ability to use medical billing/EMR software

Working Environment

• Standard office Equipment
• Standard office hours of 8:00 am to 5:00 pm, Monday through Friday, with the flexibility to work Saturday hours as needed
• 100% onsite/in-office