Revenue Cycle Managed Services - Adjustments and Credit Supervisor

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Revenue Cycle Managed Services - Adjustments and Credit Supervisor based in the United States.

This role offers the opportunity to lead critical revenue cycle operations that directly support financial accuracy and healthcare client outcomes.

You’ll oversee teams responsible for credit balances, adjustments, refunds, reconciliations, and related accounts receivable activities.

As a frontline leader, you’ll balance operational performance with accuracy, compliance, and high-quality service delivery.

You’ll manage a distributed team across U.S. and nearshore locations while partnering with senior revenue cycle leaders and client-facing stakeholders.

The role combines people leadership, complex account resolution, quality oversight, reporting, and process improvement.

You’ll work across billing, denials, coding, collections, finance, cash posting, and compliance to resolve issues and strengthen workflows.

This is an ideal opportunity for an experienced revenue cycle professional who enjoys coaching teams and improving healthcare financial operations.

Accountabilities

• Oversee daily work queues and ensure timely resolution of credit balances, overpayments, contractual adjustments, write-offs, refunds, and account corrections.
• Review and approve adjustment and refund requests in accordance with established authority levels, documentation requirements, internal controls, and compliance standards.
• Ensure accurate processing and posting of contractual and administrative adjustments, insurance and patient refunds, takebacks, recoupments, and related account activity.
• Monitor accounts receivable and credit balance aging, identify trends and bottlenecks, and take action to reduce unresolved balances.
• Research and resolve complex or escalated account discrepancies involving payers, patients, internal departments, and external vendors.
• Maintain compliance with HIPAA, CMS guidance, payer contracts, state refund requirements, audit standards, and organizational policies.
• Prepare and review productivity, quality, aging, refund, adjustment, and reconciliation reports for leadership.
• Conduct quality audits to validate adjustment accuracy, refund determinations, supporting documentation, and account notes.
• Partner with billing, denials, coding, collections, cash posting, finance, and compliance teams to resolve revenue cycle issues and improve operational workflows.
• Support month-end close activities by ensuring timely reconciliation, accurate reporting, and appropriate escalation of unresolved items.
• Review complex claims requiring supervisory intervention, including matters involving California-specific requirements such as DMHC, Medi-Cal, CCS, and workers’ compensation.
• Lead, coach, train, and evaluate a team of approximately 10-15 AR representatives across U.S. and nearshore locations.
• Conduct regular one-on-one meetings, team huddles, performance discussions, onboarding activities, and workflow training.
• Support employee development, competency building, performance management, and disciplinary or escalation processes when necessary.
• Collaborate with AR Managers, Directors, and Client Delivery leadership to address payer issues, recommend improvements, and support strong client outcomes.

Requirements

• High school diploma or equivalent required; an associate or bachelor’s degree in healthcare administration, business, finance, accounting, or a related discipline is preferred.
• At least 3 years of experience in healthcare revenue cycle, patient accounting, billing, payment posting, adjustments, refunds, credit balances, or a related area.
• 1-2 years of supervisory or AR team lead experience.
• Strong working knowledge of insurance reimbursement, Explanation of Benefits (EOB), Electronic Remittance Advice (ERA), contractual adjustments, overpayments, refunds, and accounts receivable processes.
• Demonstrated understanding of healthcare revenue cycle workflows, billing processes, payer behavior, and account reconciliation.
• Experience using practice management, patient accounting, EHR, billing systems, and payer portals.
• Proficiency with Microsoft Office, particularly Excel, as well as workflow reporting and productivity tools; Epic experience is preferred.
• Ability to interpret payer requirements, internal policies, account histories, remittance documentation, financial reports, and other revenue cycle information.
• Strong analytical, organizational, communication, time-management, and problem-solving skills.
• Ability to manage competing priorities while maintaining high standards for accuracy, productivity, compliance, and documentation.
• Demonstrated ability to coach and motivate teams, provide constructive feedback, and manage performance effectively.
• Ability to collaborate across functions and communicate effectively with both operational teams and senior leadership.
• Willingness and ability to travel to Mexico to support training and onboarding activities.
• Preferred: hands-on experience with California payers and billing requirements.
• Preferred: experience supporting large, multi-facility health systems or complex denial management environments.
• Preferred: bilingual English/Spanish proficiency.
• Preferred: residence in California or Texas.

Benefits

• Fully remote position within the United States.
• Full-time opportunity with a healthcare-focused organization serving complex revenue cycle needs.
• Competitive compensation based on skills, experience, training, certifications, and organizational needs.
• Eligibility for an annual performance bonus may apply to salaried positions.
• Additional benefits and perks may be available depending on employment terms and position eligibility.
• Collaborative, supportive, and autonomous working environment.
• Opportunities to contribute directly to improved healthcare financial operations and client outcomes.
• Professional growth opportunities through team leadership, operational improvement, and cross-functional collaboration.