RCM Supervisor

StrideCare; United States; On-site; USD 70,000 - 100,000; Full time

Job summary

StrideCare seeks a Revenue Cycle Supervisor to oversee advanced billing and collections, ensuring timely reimbursements and resolution of outstanding claims.

The role requires deep knowledge of payer guidelines, denial management, and AR follow-up strategies, supporting reconciliation, vendor coordination, and legacy AR initiatives.

Qualifications

• 3–5+ years of medical billing and AR follow-up experience.
• Strong CPT, ICD-10, and HCPCS knowledge; coding certification is a plus.
• Experience with Medicare, Medicaid, and commercial payers.
• Proficiency in EHR/PM systems (eClinicalWorks, NextGen, Athena).
• Pivot tables in Excel and data analysis skills.

Responsibilities

• Serve as liaison for vendors and providers to address billing and operational issues; coordinate resolutions.
• Perform TOS bank reconciliation and assist with EOD balancing.
• Research and resolve balances to prevent overpayments/underpayments.
• Lead unapplied payment reviews and refunds as needed.
• Own work-down of legacy AR and ensure timely resolution.
• Conduct payer policy research to support claims and appeals.
• Manage escalated patient billing inquiries with timely resolution.
• Identify denial patterns and drive process improvements.
• Submit corrected claims, appeals, and reconsiderations with appropriate documentation.
• Supervise RCM team and coordinate with vendors to resolve issues.

Skills

Medical billing

AR follow-up

Payer negotiations

Vendor coordination

EHR/PM systems

Denial management

Excel pivot tables

Education

Associate or Bachelor’s degree preferred

Tools

eClinicalWorks

NextGen

Athena

Job description

Description

Position Summary

The Revenue Cycle Supervisor is responsible for overseeing and executing advanced billing and collections processes to ensure timely reimbursement and resolution of outstanding claims. This role requires in-depth knowledge of payer guidelines, denial management, and AR follow-up strategies. The ideal candidate will have knowledge of the full revenue cycle including front-end, mid-cycle, and back-end functions, and will support reconciliation, vendor coordination, and legacy AR initiatives.

The position is responsible for identifying operational deficiencies, developing and recommending process improvements. The RCM Coordinator serves as a subject matter expert and resource for revenue cycle functions.

Key Responsibilities

• Serve as a liaison for vendors and providers to address billing, payment, and operational issues. Exercise independent judgment in evaluating issues, determining resolution strategies, and coordinating corrective actions. Assist with resolution efforts, monitor outcomes, and elevate significant financial deficiencies to leadership.
• Perform Time of Service (TOS) bank reconciliation and assist with end-of-day (EOD) balancing processes and ensure financial end-of-day processes are followed.
• Research and resolve balances to ensure no errors in overpayments or underpayments, and timely processing
• Lead unapplied payment reviews, moving money as appropriate, or initiating a refund back to the patient
• Own and coordinate work down of claim inventory in legacy systems, ensuring timely resolution and clean-up of aged AR
• Conduct payer policy research to support claim resolution, appeals, and process improvements
• Manage and resolve escalated patient billing inquiries, ensuring timely and accurate resolution
• Identify and conduct special projects and ad hoc reporting as assigned, including investigating and resolving complex billing issues, including denials, rejections, and payer discrepancies
• Submit corrected claims, appeals, and reconsiderations with appropriate documentation as requested or as associated with assigned special projects.
• Work closely with vendors to resolve complex billing issues
• Identify patterns in denials and collaborate with internal teams (coding, front desk, authorizations) to prevent recurring issues. Develop, recommend, and assist with the implementation of process improvements and workflow changes to improve clean claims and reduce denials.
• Oversee compliance with payer regulations, billing guidelines, and company policies. Provide guidance and recommendations for process and workflow improvements for identified issues.
• Supervision of RCM team members.

Requirements

Qualifications

• High school diploma or equivalent required; associate or bachelor’s degree preferred
• 3–5+ years of medical billing and AR follow-up experience (specialty experience preferred, if applicable)
• Strong knowledge of CPT, ICD-10, and HCPCS coding (coding certification a plus)
• Experience working with multiple payer types including Medicare, Medicaid, and commercial insurance
• Exposure to payment posting and charge entry
• Proficiency in EHR/PM systems (e.g., eClinicalWorks, NextGen, Athena, etc.)
• Strong understanding of denial codes (CARC/RARC) and appeals processes
• Intermediate Excel including creating pivot tables

Key Competencies

• Detail-oriented with strong organizational skills
• Critical thinking and root cause analysis
• Effective communication with internal and external stakeholders (vendors, providers, payers)
• Forward-thinking with a proactive approach to process improvement

Performance Metrics

• AR days and aging benchmarks
• Denial resolution rate
• Clean claim rate improvement
• Timely filing compliance
• Appeals success rate
• Accuracy of TOS and EOD reconciliation processes
• Legacy AR reduction and inventory resolution

Work Environment

• Local candidates only
• May require extended screen time and high-volume data entry.