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