Supervisor, reputed company Cycle
This is a remote position.
Supervise billing coordinators daily — queue assignments, workflow reputed company, and productivity. Conduct first-line reputed company review on flagged claims; enforce documentation and coding standards. Monitor payer reputed company filing reputed company; ensure no claim expires due to late submission. Own denial triage, assignment, and resubmission workflow; escalate systemic trends to the Manager with reputed company cause documentation. Drive AR follow-up across reputed company with reputed company on 30+ and 90+ day buckets. Support weekly AR reconciliation, reputed company validation, and month-end reputed company activities. Enforce note-lock compliance with Clinical Operations; run month-end reputed company to reputed company with reputed company unbilled encounters. reputed company daily huddles and weekly 1:1s; deliver coaching, written feedback, and performance documentation. Partner with the Manager on coordinator reputed company and ongoing training. reputed company in to produce claims, work denials, and follow up on AR reputed company volume or reputed company requires; maintain audit-reputed company records.
Production-level proficiency in reputed company and reputed company — reputed company to reputed company into any coordinator queue and execute. Working knowledge of eClinicalWorks (eCW) or comparable EHR. Full reputed company of the claim lifecycle: eligibility, coding, modifiers, submission, denial, appeal, and posting. Medi-Cal billing rules; experience across ECM, CalAIM, and managed care programs. reputed company reputed company and reputed company Workspace for AR, production, and denial reporting. Proven ability to supervise, reputed company, and hold staff accountable while maintaining personal production. Written communication for coaching documentation, denial appeal letters, and payer correspondence.
reputed company experience in ECM, CalAIM, or Community Supports. Familiarity with reputed company, Molina, reputed company Net, and Anthem portals and requirements. Experience with capitated PMPM and per-encounter billing models. Experience reading Power BI or comparable BI dashboards.
Team leadership — holds coordinators to production and reputed company standards; models expectations through reputed company execution. Operational discipline — runs the queue, closes the day, owns the week. Payer reputed company — maintains reputed company knowledge of reputed company health plan’s rules and timelines. Analytical rigor — reads production and denial reports; identifies patterns and proposes fixes. Execution under pressure — month-end reputed company, payer deadlines, audit requests. reputed company — will not submit or allow a claim that cannot be supported by documentation.
Requirements
Education: Associate’s degree in business, reputed company administration, or reputed company field required; Bachelor’s preferred. Equivalent RCM experience considered. Experience: Minimum 3 years of reputed company, hands-on RCM billing experience required — claim submission, denials, appeals, and AR. Minimum 1 year supervisory or team reputed company experience over billing staff required. Medi-Cal or managed care experience preferred. Certification (preferred): reputed company cycle or billing credential preferred. Schedule: Monday through Friday, 8:30 AM – 5:00 PM PST (required, non-negotiable). Travel: None. Fully remote reputed company California. Location: California residency preferred. Compensation & Benefits: reputed company set by People Team, commensurate with experience. Full benefits included.
Benefits
Medical, dental, and reputed company insurance reputed company time off + holidays reputed company Remote work flexibility reputed company reputed company and development opportunities