RCM Supervisor: Lead Revenue Cycle & Denials

StrideCare

Virginia (MN)

On-site

USD 70,000 - 100,000

Full time

13 days ago
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Job summary

StrideCare is seeking a Revenue Cycle Supervisor in the United States to oversee advanced billing and collections, ensuring timely reimbursement and robust denial management. The role demands deep payer guideline knowledge and AR follow-up across front-, mid-, and back-end processes.

You will lead process improvements, supervise the RCM team, and coordinate with vendors to resolve complex billing issues while monitoring AR days, denial resolution, and clean claim rates.

Qualifications

  • 3–5+ years of medical billing and AR follow-up experience.
  • Strong knowledge of CPT, ICD-10, and HCPCS coding (coding certification a plus).
  • Experience with multiple payer types including Medicare, Medicaid, and commercial insurance.
  • Exposure to payment posting and charge entry.
  • Proficiency in EHR/PM systems (eClinicalWorks, NextGen, Athena, etc.).
  • Strong understanding of denial codes (CARC/RARC) and appeals processes.

Responsibilities

  • Serve as a liaison for vendors and providers to address billing, payment, and operational issues.
  • Perform Time of Service (TOS) bank reconciliation and assist with end-of-day balancing.
  • Research and resolve balances to ensure no errors in overpayments or underpayments, and timely processing.
  • Lead unapplied payment reviews, moving money or initiating refunds to patients.
  • Own and coordinate work down of claim inventory in legacy systems, ensuring timely resolution and cleanup of aged AR.
  • Conduct payer policy research to support claim resolution, appeals, and process improvements.
  • Manage and resolve escalated patient billing inquiries with timely, accurate resolution.
  • Identify patterns in denials and collaborate with internal teams to prevent recurring issues; implement improvements.

Skills

CPT coding
ICD-10 coding
HCPCS coding
EHR/PM systems
Excel pivot tables
Denial management

Education

High school diploma or equivalent
Associate or bachelor’s degree preferred

Tools

eClinicalWorks
NextGen
Athena

Job description

StrideCare is seeking a Revenue Cycle Supervisor in the United States to oversee advanced billing and collections, ensuring timely reimbursement and robust denial management. The role demands deep payer guideline knowledge and AR follow-up across front-, mid-, and back-end processes.

You will lead process improvements, supervise the RCM team, and coordinate with vendors to resolve complex billing issues while monitoring AR days, denial resolution, and clean claim rates.

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