Revenue Cycle Insurance Supervisor (Hospital)

Job Title: Revenue Cycle Insurance Supervisor (Hospital)

Location: Sebring FL

Work Schedule: Normal business hour Monday to Friday

Job Type: Full-Time (Permanent)

Salary: $55,000–$60,000

Job Description

Position Summary

The Revenue Cycle Insurance Supervisor is a frontline leader responsible for overseeing hospital insurance collections performance through direct team supervision, operational oversight, and payer follow-up strategy execution. This role drives day-to-day accountability for hospital insurance A/R and denials management, ensuring timely resolution of complex claims, adherence to compliance standards, and consistent cash flow performance. The ideal candidate is a hands-on leader who coaches staff, enforces productivity standards, and collaborates cross-functionally to achieve measurable financial outcomes.

Key Responsibilities

Leadership, Team Oversight & Accountability (Primary Emphasis)

• Supervise hospital insurance A/R and denial management staff, providing daily direction, coaching, and performance feedback.
• Establish and monitor productivity, quality, and compliance standards for team members.
• Conduct regular one-on-one meetings, performance evaluations, and corrective action as needed.
• Support training, onboarding, and development of insurance follow-up and appeals staff.
• Serve as a subject matter resource for hospital insurance reimbursement processes and payer guidelines.

Hospital Insurance A/R & Denials Operations

• Oversee daily follow-up and resolution of hospital insurance accounts receivable.
• Monitor AR aging, work queues, and collections activity to ensure timely reimbursement.
• Supervise denial management and appeals processes across Medicare, Medicaid, commercial, managed care, and governmental payers.
• Escalate high-dollar, high-risk, or complex claims to senior leadership as appropriate.
• Identify payer trends and operational gaps impacting reimbursement and recommend corrective actions.

Payer Relations & Issue Resolution

• Serve as an escalation point for payer disputes, underpayments, and follow-up issues.
• Assist leadership in preparing documentation and data for payer discussions.
• Ensure timely and accurate communication with payers to resolve systemic reimbursement concerns.

Cross-Functional Collaboration

• Collaborate with Coding, CDI, Utilization Review, Case Management, Registration, Compliance, and IT teams to reduce preventable denials.
• Support cross-department initiatives to improve first-pass claim resolution and reduce rework.
• Communicate operational challenges and trends to leadership with actionable recommendations.

Financial Performance & Reporting

• Track and report insurance revenue cycle KPIs, including AR aging, denial rates, appeal outcomes, and cash collections.
• Hold team members accountable to daily and monthly performance targets.
• Assist leadership with budgeting input, performance forecasting, and cash flow improvement initiatives

Compliance, Risk & Audit Support

• Ensure insurance follow-up and appeals processes align with CMS guidelines, payer contracts, and state/federal regulations.
• Maintain accurate and audit-ready documentation.
• Participate in internal and external audits and implement corrective action plans when necessary.

Physician Billing Insurance Oversight (Secondary)

• Provide operational support and oversight of physician/professional insurance A/R as directed.
• Monitor denial patterns within professional billing to ensure alignment with hospital payer processes.

Qualifications

Required

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (or equivalent experience).
• 1–3+ years of progressive revenue cycle experience with hospital insurance A/R focus.
• Prior supervisory experience leading insurance follow-up or denial management teams.
• Strong knowledge of hospital reimbursement methodologies and payer regulations.

Leadership Competencies

• Strong team supervision and staff development skills
• Accountable, organized, and operationally focused leadership style
• Effective communicator with the ability to escalate issues appropriately
• Analytical thinker capable of translating performance data into action plans