Why We're Here:
At Brave Health, we are driven by a deep commitment to transform lives by expanding access to compassionate, high-quality mental health care. By harnessing the power of technology, we break down barriers and bring mental health treatment directly to those who need it most—wherever they are. As a community health-centered organization, we are dedicated to ensuring that no one is left behind. Nearly 1 in 4 people in the U.S. receive healthcare through Medicaid, yet two-thirds of providers don’t accept it. Brave Health is stepping up to close this gap by making mental health care accessible, affordable, and life-changing for all.
Overview:
The Supervisor- Revenue Cycle Management (RCM) leads and oversees the daily operations of the accounts receivable and billing functions, including the work of Revenue Cycle Specialists. The supervisor ensures accurate billing, timely claims submission, and efficient resolution of denials and rejections. This role is responsible for monitoring revenue cycle performance, optimizing cash collections, and ensuring compliance with payer regulations and organizational policies. Success in this position requires strong leadership, critical thinking, and in-depth knowledge of Commercial, Medicaid, and Medicare contracts and familiarity with Electronic Data Interchange (EDI) processes.
Key Responsibilities:
Revenue Cycle Operations & Compliance
Oversee timely submission of electronic and paper claims, monitor claim statuses, and ensure prompt resolution of unpaid, denied, or rejected claims
Manage and maintain payer EDI enrollments, including initiating, updating, and troubleshooting EDI and ERA enrollments with clearinghouses and payers
Review complex billing issues, payer contract terms, and reimbursement policies to ensure regulatory and payer compliance
Assure thorough and accurate documentation of all account activities and communications within the billing system
Ensure compliance with HIPAA, payer-specific guidelines, and organizational billing protocols
Team Leadership & Development
Supervise and support RCM Specialists to ensure efficient and accurate processing of claims, adjustments, and collections
Provide training, mentorship, and performance feedback to team members to foster continuous improvement and professional growth
Manage escalated billing inquiries and complex payer disputes professionally and efficiently, including payer rework projects
Strategic Analysis & Cross-Functional Collaboration
Develop strategies to identify and reduce denial trends, driving improvements in revenue cycle performance and cash collections
Generate and analyze revenue cycle reports to track KPIs, denial rates, collections performance, and aging accounts
Utilize data to identify denial and rejection trends and suggest strategies to mitigate similar issues in the future
Collaborate with the Insurance Verification, Credentialing, and other teams to streamline workflows and resolve upstream issues impacting claim processing
Competencies, Skills & Experience Required
High school diploma or GED
5+ years of RCM experience, with a strong preference for previous leadership experience
A history of working in digital or virtual health
Use of medical billing systems (i.e. Candid Health, Healthie)
Extensive experience in healthcare billing, A/R management, and collections
Working knowledge of EDI workflows and enrollment processes, including payer enrollment forms and clearinghouse coordination
Ability to analyze claims data to identify trends
Deep understanding of Commercial, Medicaid, and Medicare reimbursement policies
Exceptional attention to detail and ability to maintain documentation accuracy
Excellent verbal and written communication skills
Strong customer service orientation with the ability to manage sensitive patient and payer communications
Demonstrated ability to work under pressure in a fast-paced environment while ensuring compliance
Lead and support the RCM team through supervision, training, and resolution of escalated billing issues
Oversee revenue cycle operations to ensure timely, accurate, and compliant claims processing and documentation
Drive process improvement by analyzing performance metrics and collaborating across departments to resolve claim and workflow issues
A background in mental or behavioral health billing highly preferred
Brave Health is very proud of our diverse team who cares for a diverse population of patients. We are an equal opportunity employer and encourage all applicants from every background and life experience to apply.
Loading similar jobs...
Discover fully remote job opportunities in the United States at USA Remote Jobs. Apply for roles like Software Developer, Customer Service Specialist, Project Manager, and more!