Supervisor, RCMS

Job Description:

Key Responsibilities:

• Supervise daily AR operations for assigned clients/projects.
• Monitor AR aging buckets and ensure timely follow-up on outstanding claims.
• Drive resolution of denials (Authorization, Eligibility, Credentialing, Coding, etc.).
• Ensure compliance with TAT, productivity, and quality SLAs.

Provide coaching, mentoring, and performance feedback to AR team members.

• Coordinate with internal teams (Billing, Coding, Credentialing) to resolve issues.
• Generate AR reports, highlight trends, and suggest process improvements.
• Handle escalations and act as the first point of contact for clients.
• Track KPIs such as AR days, aging %, denial rate, and collection efficiency.

Qualifications & Skills:

• Bachelor s degree in any field.
• 5 7 years of experience in AR (Healthcare RCM), with at least 2 3 years in a supervisory/leadership role.
• Strong understanding of US healthcare revenue cycle (payer policies, denials, AR follow-up).
• Proficiency in MS Excel, AR dashboards, and reporting.
• Excellent communication, leadership, and problem-solving skills.
• Ability to manage multiple priorities and meet deadlines.

Key Performance Indicators (KPIs):

• AR aging reduction (focus on 31 180 days and 180+ buckets).
• Denial resolution turnaround time.
• % of claims resolved within TAT.
• Team productivity and quality compliance.
• Client satisfaction scores.

Preferred Experience:

• Experience working with EHR/EMR and AR management tools.
• Prior exposure to client communication and project transition.
• Experience in handling insurance-specific AR (Medicare, Medicaid, Commercial, MCOs).

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.