Supervisor of Hospital Accounts Receivable

Job Summary:

The Supervisor of Hospital Accounts Receivable is a key operational leader responsible for optimizing cash flow and ensuring the financial stability of Care New England through effective oversight of both insurance and patient accounts receivable. This role ensures timely and accurate claim submission, proactive follow-up on outstanding balances, and resolution of denied or underpaid claims in compliance with CMS regulations, payer guidelines, and internal policies.

This position is accountable for the day-to-day operations of billing and collections, ensuring that all claims are submitted cleanly and that payer responses are acted upon quickly and effectively. The Supervisor analyzes denial patterns, identifies underpayment trends, and engages with insurance companies to resolve outstanding balances. The role also ensures timely escalation of systemic issues or process barriers to the Director of A/R Management and provides transparency around performance metrics, aging trends, and operational risks.

This role requires a detail-oriented and compliance-focused leader who can manage performance, coach staff, collaborate across departments, and maintain strong relationships with payers, patients, and internal teams. The Supervisor plays a vital role in ensuring the department meets organizational goals for cash collections, clean claim rates, denial prevention, and patient satisfaction.

Duties and Responsibilities:

Supervise the daily operations of the Accounts Receivable (A/R) team, ensuring timely and accurate claim submission, payment posting, follow-up, and resolution of outstanding balances.
Monitor aging reports, denial trends, overpayments and underpayments to ensure appropriate and timely follow-up with payers.
Oversee workflows for insurance and/or patient A/R, including coordination with financial assistance staff and front-end teams to improve resolution and prevent delays.
Ensure adherence to all federal, state, and payer regulations including CMS billing rules, HIPAA, and compliance policies.
Support and participate in the implementation and optimization of the Epic system as it relates to A/R workflows and reporting.
Identify, track, and analyze denial trends and underpayments; escalate systemic issues and collaborate with internal stakeholders for resolution.
Maintain relationships with payer representatives to facilitate escalated claim resolution and stay informed of changes in payer policy.
Serve as a liaison between the A/R team and other departments (e.g., Coding, Patient Access, Compliance) to address root causes of denials and ensure cross-functional alignment.
Support patient-facing teams in resolving billing inquiries, providing financial guidance, and directing patients to appropriate financial assistance or payment plan resources.
Collaborate with financial counselors and customer service representatives to ensure patient balances are addressed empathetically and effectively.
Provide day-to-day supervision, support, and guidance to staff to maintain high levels of productivity, accuracy, and customer service.
Conduct performance evaluations, identify training needs, and deliver coaching or corrective action as appropriate.
Promote a culture of accountability, collaboration, and continuous improvement within the team.
Foster employee engagement and professional development by encouraging ownership, transparency, and teamwork.
Regularly communicate performance metrics, barriers to resolution, and key issues to the Director of A/R Management.
Participate in A/R meetings and workgroups to review trends, monitor KPIs, and recommend operational improvements.
Support audits, compliance reviews, and other external or internal reporting requirements.
Evaluate existing workflows and recommend enhancements to reduce denials, increase collections, and improve the clean claim rate.
Collaborate with Revenue Cycle leadership to support enterprise-wide initiatives and contribute to long-term strategy.
Maintain strict confidentiality of patient information in compliance with HIPAA and organizational policies.
Perform other related duties and responsibilities as assigned.

Requirements:

Associate's Degree Required; Bachelor's Degree Preferred

Minimum 3 years experience

Revenue Cycle Expertise: In-depth understanding of hospital and/or physician revenue cycle operations, including billing, collections, accounts receivable management, denial resolution, and cash flow optimization.

Claims and Payer Knowledge: Strong knowledge of third-party payer requirements, including claim submission standards, authorization processes, denial types, and underpayment trends. Ability to interpret and apply payer contracts and reimbursement methodologies (e.g., DRG, APC, fee schedules).