Accounts Receivable Supervisor

Since 1938, BHN has delivered high-quality, culturally responsive behavioral health care, building deep roots in Western Massachusetts while expanding our impact in communities throughout the state.

About the role

Under the direct supervision of the Revenue Cycle Director, the Revenue Cycle Supervisor oversees and optimizes revenue-related operations. This role involves in-depth analysis of both incoming and outgoing revenue streams, as well as the preparation of advanced, complex technical and analytical reports, including key performance indicators for the assigned team. The Revenue Cycle Supervisor will directly manage one of the following teams: Accounts Receivable, Claims Submission, Site Coordination, or Payment Posting. The primary objective is to enhance the efficiency, quality, and financial performance of the Revenue Cycle function.

Responsibilities

• Supervise daily activities of the denial and follow-up team to ensure timely and effective claim resolution by conducting regular team meetings and providing performance feedback (Individual One on One).
• Train and mentor staff on payer guidelines, denial codes, appeal processes, program guidelines, and customer service standards.
• Monitor aged claims, follow-up buckets, and ensure proactive follow-up with insurance companies, government payers, and third-party administrators consistently and timely.
• Oversee the identification, categorization, and root cause analysis of denied claims to ensure appropriate and timely appeal submission, reconsiderations, or corrected claims.
• Develop and implement denial prevention strategies based on trend and root cause analysis.
• Maintain accurate documentation of follow-up and appeal activities for audit readiness.
• Monitor and report on key metrics such as Denial rate, appeal success rate, Days in accounts receivable (A/R), and claims touch per days per staff.

Requirements

• High School Diploma or GED required.
• Associate’s Degree or 3-5 years of prior healthcare revenue cycle analyst experience (if no degree) preferred.
• 2-3 years of management experience required.
• Mass Behavioral Health knowledge a plus.
• Ability to schedule, meet, and maintain daily and monthly routines, as well as preserve the integrity of the EHR.
• Ability to identify team goals and evaluate progress, in addition to coaching team members to achieve these goals.
• Extensive knowledge of medical insurance and an overall understanding of managed care products (HMO, PPO, ACO, etc.) as well as billing and collections with CPT, ICD-10, and HCPC coding and medical terminology.
• Understanding and ability to read and edit 5010 HIPAA transaction standards including, but not limited to, 837, 999, 277, and 835 file types.
• Proficient in Microsoft Office products with strong skills in Excel (VLOOKUPs, pivot tables, formulas, etc.).
• Strong analytical and problem-solving skills.

Benefits

• Generous PTO.
• 403(b) retirement plan.
• Educational assistance.
• Comprehensive medical, dental, and vision insurance.
• Employee assistance programs.

Certified Great Place to Work – recognized for creating a positive and engaging employee experience.

Pay

$72,000 - $75,000 per year