Revenue Cycle Managed Services – Adjustments and Credit Supervisor

This is a fully remote position, open to applicants in United States.

📋 Description

• Supervise daily work queues related to credit balances, overpayments, contractual adjustments, write-offs, refunds, and account corrections.

• Assess and authorize adjustment and refund requests in line with authority levels, documentation requirements, and internal controls.

• Guarantee accurate posting of contractual and administrative adjustments, refunds, recoupments, takebacks, and associated account activities.

• Track accounts receivable and credit balance aging to detect trends and minimize unresolved balances.

• Investigate and resolve intricate or escalated account discrepancies.

• Ensure adherence to HIPAA, CMS guidelines, payer contracts, state refund regulations, audit standards, and organizational policies.

• Compile and examine reports on productivity, quality, aging, refunds, adjustments, and reconciliations.

• Execute quality audits of adjustments, refund decisions, documentation, and account notes.

• Collaborate with billing, denials, coding, collections, cash posting, finance, and compliance teams.

• Facilitate month-end closing through prompt reconciliation, reporting, and communication regarding unresolved items.

• Evaluate complex claims that necessitate supervisor intervention, including matters specific to California regulations.

• Lead, mentor, train, and assess a team of 10-15 AR representatives across U.S. and nearshore locations.

• Conduct one-on-one meetings, team huddles, and performance evaluations.

• Assist with onboarding, workflow training, and competency enhancement.

• Provide support for disciplinary actions or escalations as required.

• Work collaboratively with AR Managers, Directors, and Client Delivery leadership on payer challenges, process enhancements, and client outcomes.

• Engage in leadership or operational meetings as necessary.

⛳️ Requirements

• High school diploma or equivalent is required.

• An Associate or Bachelor’s degree in healthcare administration, business, finance, accounting, or a related field is preferred.

• At least three years of experience in healthcare revenue cycle, patient accounting, billing, payment posting, adjustments, refunds, or credit balance is required.

• Minimum of 1-2 years of supervisory or AR team lead experience.

• Familiarity with insurance reimbursement, Explanation of Benefits, Electronic Remittance Advice, contractual adjustments, overpayments, refunds, and accounts receivable processes.

• Proficient in using practice management systems, patient accounting systems, electronic health records, payer portals, and Microsoft Office applications.

• Ability to interpret payer requirements, internal policies, account histories, remittance documentation, and financial reports.

• Strong comprehension of revenue cycle processes, billing workflows, and payer behaviors.

• Proficient in EHR and billing systems (Epic preferred), Microsoft Excel, and workflow reporting tools.

• Excellent communication, time management, and organizational capabilities.

• Willingness to travel to Mexico for training and onboarding support.

• Hands-on AR experience with California payers and billing standards is preferred.

• Experience supporting large, multi-facility health systems is preferred.

• Bilingual (English/Spanish) is preferred.

• Experience in complex denial management environments is preferred.

• Preference for candidates located in California or Texas.

🏝️ Benefits

• An annual performance bonus may be available for salaried positions.

• Additional benefits and perks may be available depending on the position and employment terms.

• A caring, enjoyable, honest, and autonomous work environment.

• Commitment to diversity and inclusion.

• Employees are valued and empowered.