Revenue Cycle Managed Services - Adjustments and Credit Supervisor
J
JobgetherHealthcare Revenue Cycle
Based in the United StatesFull-TimeManager
SalaryCompetitive compensation based on skills, experience, training, certifications, and organizational needs. Eligibility for an annual performance bonus may apply.
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Job Details
- Languages
- Spanish (bilingual proficiency preferred)
- Experience
- At least 3 years of experience in healthcare revenue cycle; 1–2 years of supervisory or AR team lead experience.
- Required Skills
- Data AnalysisMicrosoft ExcelComplianceHIPAA
Requirements
- High school diploma or equivalent; associate or bachelor’s degree in healthcare administration, business, finance, or related field preferred.
- At least 3 years of experience in healthcare revenue cycle, patient accounting, or billing.
- 1–2 years of supervisory or AR team lead experience.
- Strong working knowledge of insurance reimbursement, EOBs, ERAs, contractual adjustments, and accounts receivable processes.
- Experience using practice management, patient accounting, EHR, and billing systems.
- Proficiency with Microsoft Office (specifically Excel) and workflow reporting tools.
- Demonstrated ability to interpret payer requirements, financial reports, and complex revenue cycle information.
- Willingness and ability to travel to Mexico to support training and onboarding activities.
- Experience with California payers and billing requirements preferred.
- Experience supporting large, multi-facility health systems preferred.
- Bilingual English/Spanish proficiency preferred.
Responsibilities
- Oversee daily work queues and ensure timely resolution of credit balances, overpayments, contractual adjustments, write-offs, refunds, and account corrections.
- Review and approve adjustment and refund requests in accordance with established authority levels, internal controls, and compliance standards.
- Monitor accounts receivable and credit balance aging, identify trends, and take action to reduce unresolved balances.
- Research and resolve complex or escalated account discrepancies involving payers, patients, and internal departments.
- Prepare and review productivity, quality, aging, and reconciliation reports for leadership.
- Conduct quality audits to validate adjustment accuracy and documentation.
- Lead, coach, and evaluate a team of approximately 10–15 AR representatives across U.S. and nearshore locations.
- Collaborate with AR Managers, Directors, and client-facing stakeholders to address payer issues and support client outcomes.
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