Revenue Cycle Operations Supervisor

Position Summary

The Revenue Cycle Operations Supervisor oversees the daily operations of the Billing and A/R within the Revenue Cycle Division. This role ensures timely, accurate claim submission, clean claim rates, compliant billing practices, and effective follow-up on outstanding balances. The Supervisor supports staff, monitors productivity, resolves workflow barriers, and escalates complex issues to the Director of Revenue Cycle Management.

This position plays a critical role in maintaining financial stability, compliance with federal and tribal regulations, and ensuring the clinic receives full reimbursement for services provided.

Essential Duties & Responsibilities

Billing Oversight

· Ensure accurate and timely submission of claims to Medicaid, Medicare, private insurance, and third-party payers.

· Review claims for completeness, coding accuracy, and compliance with payer rules.

· Monitor daily billing queues, clearinghouse rejections, and error reports.

· Coordinate with HIM, Registration, and Patient Benefits to resolve documentation or coverage issues.

Accounts Receivable Oversight

· Oversee daily A/R follow-up activities, including denials, appeals, and outstanding balances.

· Track aging reports and ensure timely follow-up to reduce days in A/R.

· Review denial trends and escalate systemic issues to the Director.

· Ensure proper documentation of all follow-up actions in the EHR and billing system.

Staff Supervision

· Provide daily guidance, coaching, and support to Billing and A/R staff.

· Assign work, monitor productivity, and ensure adherence to departmental workflows.

· Conduct performance evaluations and participate in corrective action processes when needed.

· Maintain a positive, professional work environment focused on accuracy, accountability, and teamwork.

Compliance & Quality Assurance

· Ensure billing and A/R processes comply with CMS, Medicaid, Medicare, private payer rules, and tribal health regulations.

· Monitor for potential compliance risks and immediately escalate concerns.

· Support internal audits and implement corrective actions.

· Maintain confidentiality and uphold HIPAA standards at all times.

Workflow & Process Improvement

· Identify workflow gaps and recommend improvements to the Director.

· Assist with implementing new procedures, system updates, and training materials.

· Collaborate with Registration, Benefits, and HIM to resolve cross-department issues affecting billing.

Reporting & Communication

· Prepare daily/weekly/monthly reports on billing performance, A/R aging, denials, and productivity.

· Communicate trends, barriers, and operational needs to the Director.

· Participate in department meetings and contribute to revenue cycle planning.

Minimum Qualifications

· High school diploma or GED required; associate degree preferred.

· 3-5 years of medical billing and A/R experience.

· Prior supervisory or lead experience in revenue cycle operations.

· Knowledge of Medicaid, Medicare, private payer billing rules, and denial management.

· Familiarity with EHR and billing systems; ability to learn new software quickly.

· Strong communication, problem-solving, and organizational skills.

Preferred Qualifications

· Experience in tribal 638 health revenue cycle operations.

· Knowledge of ICD-10, CPT, HCPCS, and medical terminology.

· Experience with clearinghouse platforms and payer portals.

· Ability to interpret payer policies and regulatory guidance.

• Fluent in Keres and English languages
• Native American

Haak'u Health Center, formally Acoma/Canoncito/Laguna (ACL) Clinic is now hiring! Please consider joining the Haak'u Health Center team.