Operations Supervisor

This is a fully remote position, open to applicants in Arizona, +21 more states.

📋 Description

• Provide direct leadership to Account Resolution Specialists levels I–IV and the Operations Team Lead.

• Oversee daily claim resolution activities, encompassing edits, denials, and appeals.

• Manage team productivity, accuracy, quality, and adherence to payer and organizational standards.

• Conduct one-on-one sessions, including coaching, mentoring, onboarding, and training.

• Lead interviews and the hiring process for Account Resolution Specialists and Team Leads.

• Monitor productivity standards and assess quality metrics.

• Review weekly quality audits and provide targeted coaching based on findings.

• Escalate employee performance issues and implement disciplinary actions or Employee Success Plans as necessary.

• Communicate team and individual performance updates with the Operations Manager.

• Review and approve team payroll submissions.

• Complete performance evaluations for direct reports.

• Analyze claim errors and rejections to identify trends and opportunities for process enhancements.

• Monitor payer updates and relay changes to the team.

• Ensure precise adjustments and compliance with client policies.

• Investigate problematic accounts and escalate unresolved client IPO issues.

• Lead daily shift briefings to align team objectives.

• Collaborate with management to formulate and refine policies.

• Attend client payer meetings or internal discussions as necessary.

• Complete assigned projects and take on additional responsibilities as required.

• Promote compliance through regular huddles, meetings, communications, and decision-making processes.

⛳️ Requirements

• High school diploma or equivalent is required.

• CRCR certification is required or must be achieved within 90 days of hiring.

• A minimum of 2 years in a supervisory or leadership position is necessary.

• At least 3 years of experience in securing medical claim payments from health insurance providers, including claim follow-up and appeals.

• Experience handling complex insurance claims, high-value denials, and escalation strategies.

• Preferred: Minimum of 3 years’ experience with Artiva for account resolution workflows.

• Familiarity with EMR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or comparable platforms.

• Proficient in Microsoft Office Suite, Teams, and desktop applications.

• Comprehensive knowledge of healthcare revenue cycle management, CMS regulations, HIPAA compliance, payer guidelines, CARC/RARC codes, denial and appeal processes, and claim resolution workflows.

• Ability to monitor and interpret productivity and quality metrics effectively.

• Capability to coach, mentor, and develop staff across various levels.

• Ability to manage competing priorities while ensuring accuracy and timeliness.

• Strong written and verbal communication skills are essential.

• Ability to initiate and complete projects independently.

• Willingness and capability to learn new software applications and processes.

• Background check and government exclusion check are required as conditions of employment.

🏝️ Benefits

• Limited travel may be required.

• Opportunities for professional development and staff training.

• Support for coaching, mentorship, and onboarding.

• A work environment focused on compliance.

• Criminal background check and government exclusion check will be conditions of employment.