Remote Hospital Billing & Collections Supervisor (IRF/LTACH)

AAPC; Mesquite (TX); Remote; USD 90,000 - 130,000; Full time

Job summary

Addison Group is seeking an experienced Commercial Billing & Collections Supervisor to lead a 58-person team supporting inpatient rehabilitation and LTACH billing. You will handle complex claims, denials, underpayments, and payer issues while staying hands-on with the end-to-end process.

The role requires hospital-based commercial collections experience, strong leadership, and the ability to work independently in a remote environment. Fully remote, Mon–Fri schedule, equipment provided.

Qualifications

• 23+ years of Team Lead or Supervisor experience in medical billing/collections.
• Inpatient hospital collections experience required.
• Strong commercial insurance billing and collections knowledge.
• Understanding of insurance plans, payer contracts, and reimbursement methodologies.
• Ability to work a commercial claim from billing through final resolution.
• Experience identifying and resolving denials, underpayments, and balance discrepancies.
• Strong knowledge of AR follow-up and collection strategies.
• Ability to analyze complex claims and determine appropriate next steps.
• Strong leadership, communication, and problem-solving skills.
• Detail-oriented, dependable, and comfortable working independently in a remote environment.

Responsibilities

• Supervise and provide daily direction to a team of 58 billing and collections employees
• Oversee commercial insurance billing and collections for LTACH and inpatient rehabilitation (IRF) services
• Monitor AR aging, denials, underpayments, outstanding claims, and collection activity
• Assign workloads and monitor team productivity and follow‑up
• Coach, train, and support team members
• Identify reimbursement trends and barriers impacting collections
• Assist with complex claims, appeals, denials, and payment discrepancies
• Ensure claims are billed accurately and within timely filing requirements
• Review payer contracts, payment methodologies, and account balance variances
• Track collections, aging, productivity, and outstanding balances
• Partner with Revenue Cycle leadership to resolve payer and billing issues
• Ensure compliance with payer requirements and internal policies

Skills

Team Lead experience

Inpatient billing

AR follow-up

Denials management

Payer contracts

Remote work

Leadership

Tools

WellSky

Job description

Addison Group is seeking an experienced Commercial Billing & Collections Supervisor to lead a 58-person team supporting inpatient rehabilitation and LTACH billing. You will handle complex claims, denials, underpayments, and payer issues while staying hands-on with the end-to-end process.

The role requires hospital-based commercial collections experience, strong leadership, and the ability to work independently in a remote environment. Fully remote, Mon–Fri schedule, equipment provided.