Back-End Revenue Cycle Supervisor

Description

Position Summary 

The Back-End Revenue Cycle Supervisor is a working supervisor responsible for supporting and coordinating all back-end functions of the revenue cycle, including insurance aging A/R, payment posting, medical record audits, and claims resolution. This role works closely with the Front-End and Patient A/R Supervisors and the RCM Manager to ensure timely, accurate, and compliant revenue cycle operations. The supervisor helps guide staff in daily workflows, monitors performance, and supports process improvements without direct HR management responsibilities. 

Requirements

Key Responsibilities 

Insurance Accounts Receivable Management 

• Oversee and support the insurance A/R follow-up process to ensure timely and accurate claim resolution. 
• Work aging reports to reduce outstanding balances and escalate payer issues or systemic delays. 
• Coordinate appeal efforts and provide assistance in resolving complex or high-value denials. 
• Identify and communicate trends in denials or underpayments to the RCM Manager for resolution. 

Payment Posting and Reconciliation 

• Oversee daily payment posting workflows and assist with troubleshooting posting issues and discrepancies. 
• Review unapplied payments, adjustments, and credit balances, ensuring timely resolution. 
• Coordinate with finance to ensure reconciliation of payments, deposits, and remittance activity. 

Medical Records, Audits, and Documentation 

• Monitor medical record requests related to audits, claims, or payer follow-up, ensuring timely submission. 
• Support the preparation and submission of documentation for payer audits, prepayment reviews, and internal quality checks. 
• Ensure that documentation and audit trails are organized and compliant with payer and regulatory standards. 

Staff Supervision and Workflow Support 

• Supervise day-to-day activities of staff involved in insurance follow-up, payment posting, and audit support. 
• Provide workflow oversight, assign daily priorities, and support staff in resolving complex issues. 
• Assist in staff training on back-end processes, payer rules, and best practices to support accuracy and productivity. 
• Cover open shifts or high-volume periods to ensure service level goals are met. 
• Promote accountability and a collaborative work environment focused on results and service quality. 

Cross-Department Collaboration 

• Collaborate with the Front-End Supervisor to address registration or eligibility issues, coding, edits, and systems that impact claim submission and reimbursement. 
• Coordinate with the Patient A/R Supervisor to align workflows and ensure proper handoffs between insurance and patient balance resolution. 
• Work closely with the RCM Manager to identify gaps, improve processes, and implement operational improvements across the revenue cycle. 

Compliance and Performance Monitoring 

• Monitor adherence to payer policies, coding guidelines, and internal billing procedures. 
• Ensure workflows support compliance with federal and state billing regulations. 
• Run reports and analyze performance related to insurance A/R, denial rates, payment posting accuracy, and processing timeframes. 
• Participate in the development of process enhancements based on data analysis and industry trends. 

Qualifications

Education and Certification

• Associate’s (Bachelor’s preferred) degree in Healthcare Administration, Finance, or a related field preferred or equivalent direct experience three (3) or more years.
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification is highly desirable.

Experience

• Minimum of 3 years of experience in healthcare revenue cycle management, with a focus on back-end processes such as AR management, payment posting, or audits.
• At least 1-2 years of supervisory or team lead experience in a related role.

Skills and Abilities

• Strong understanding of medical terminology, ICD-10, CPT, and HCPCS coding systems
• Proficiency with electronic medical records (EMR) and revenue cycle/billing software.
• Excellent analytical and organizational skills to manage AR, oversee audits, and resolve payment discrepancies.
• Ability to balance operational duties with team leadership in a hands-on supervisory role.

Key Physical and Mental Requirements:

•  Ability to lift up to 50 pounds.
•  Ability to push or pull heavy objects using up to 50 pounds of force.
•  Ability to sit for extended periods of time.
•  Ability to stand for extended periods of time.
•  Ability to use fine motor skills to operate office equipment and/or machinery.
•  Ability to receive and comprehend instructions verbally and/or in writing.
•  Ability to use logical reasoning for simple and complex problem solving
•  FLSA Classification: Non-exempt

 Southeast Primary Care Partners** is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

6/2025