IKS Health · 3 months ago
Onsite Supervisor – Insurance Accounts Receivable (Healthcare RCM)
IKS Health is a healthcare solutions provider that enhances operational efficiency and patient outcomes. They are seeking a Supervisor for Insurance Accounts Receivable to lead a team focused on payer follow-up, claims resolution, and denial management, ensuring compliance and driving process improvements.
Health CareMedical
Responsibilities
Supervise AR representatives handling insurance claim follow-up across multiple payer types
Manage day-to-day operations, attendance, and production to meet contractual SLAs
Provide coaching, mentoring, and structured feedback to optimize performance and professional growth
Ensure thorough understanding and compliance with Medicare, Medicaid, Workers’ Comp, and commercial payer rules and guidelines
Oversee timely follow-up and resolution of unpaid and denied claims, including escalated/high-dollar accounts
Monitor trends in denials (COB, medical necessity, coding edits, authorization issues) and implement corrective action plans
Coordinate with client and internal revenue cycle teams to address payer-specific challenges
Monitor and analyze KPIs (A/R days, aging, denial rates, collections) through reports and dashboards
Identify systemic issues and partner with Quality, Training, and Operations Excellence teams to strengthen processes
Ensure accurate and timely reporting of team productivity, efficiency, and collections outcomes
Collaborate with cross-functional support teams (WFM, IT/IS, BI/MIS, HR) for issue resolution and performance optimization
Work client escalations to resolution while ensuring adherence to payer regulations and compliance requirements
Maintain high standards of accuracy, documentation, and audit readiness
Stay current with CMS guidelines, state Medicaid updates, and payer-specific changes to keep the team compliant and effective
Qualification
Required
High School Diploma Mandatory (Bachelor's Degree Preferred)
5+ years of supervisory/management experience in insurance AR (Medicare, Medicaid, Workers' Comp, commercial payers)
Strong interpersonal, oral, and written communication skills
Proficiency in EPIC billing system (preferred) and experience with DDE/FISS, Medicaid portals, and payer-specific systems
Familiarity with CPT, ICD-10 coding, and billing edits
Proven experience in denial management, appeals, and payer escalations
Proficiency in MS Office, Google Suite, and workflow/case management tools
Demonstrated success in improving AR outcomes such as reducing aging, increasing cash collections, and lowering denial rates
Deep knowledge of U.S. healthcare insurance claim life cycle and payer-specific rules
Strong understanding of Medicare and Medicaid complexities including prior auth, secondary billing, crossover claims, and state-level nuances
Ability to analyze denial/appeal trends and implement corrective strategies
Conflict resolution and strong emotional intelligence to manage team dynamics
Excellent analytical, organizational, and problem-solving skills
Ability to lead both onsite and remote teams effectively
Preferred
Bachelor's Degree
Proficiency in EPIC billing system
Experience with DDE/FISS, Medicaid portals, and payer-specific systems
Benefits
Healthcare
401 (k)
Paid time off
Company
IKS Health
IKS Health offers clinical, financial, and administrative healthcare solutions.
Funding
Current Stage
Public CompanyTotal Funding
unknown2024-12-19IPO
2006-11-16Seed
Recent News
2026-01-16
2025-11-23
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