Supervisor, Revenue Cycle
Riverside, CA · Remote
$52K - $65K/yr
Familiarity with IEHP, Molina, CalOptima, Health Net, and Anthem portals and requirements ... Remote work flexibility * Professional growth and development opportunities
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Supervisor, Revenue Cycle
Riverside, CA · Remote
$52K - $65K/yr
Familiarity with IEHP, Molina, CalOptima, Health Net, and Anthem portals and requirements ... Remote work flexibility * Professional growth and development opportunities
New
Remote Iehp information
What are the key skills and qualifications needed to thrive in the Remote Iehp position, and why are they important?
To thrive as a Remote IEHP (In-Home Supportive Services for Individuals with Enhanced Health Plan), you need a background in health care coordination, case management, and experience working with Medicaid or managed care populations, often supported by a relevant degree or social work licensure. Familiarity with care management software, electronic health records (EHRs), and telehealth platforms is typically required. Strong communication, organizational skills, and the ability to work independently make candidates stand out in this virtual environment. These competencies are crucial for effectively managing member care remotely, collaborating across teams, and ensuring compliance with health plan requirements.
What does a typical day look like for someone working as a Remote IEHP care coordinator?
As a Remote IEHP care coordinator, your day typically involves conducting telephonic or virtual assessments, coordinating care plans, and following up with members to ensure their needs are being met. You will also work closely with healthcare providers, social workers, and support services to facilitate access to medical and social resources. Regular documentation and updating of electronic records are essential, as is participating in virtual team meetings for case reviews and collaboration. This role requires balancing independent work with regular communication and teamwork to deliver comprehensive, quality support to IEHP members.
What is a Remote IEHP job?
A Remote IEHP job refers to a position with Inland Empire Health Plan (IEHP) that allows employees to work from home or another remote location. These roles can vary across departments, including customer service, case management, IT, and healthcare administration. Remote IEHP positions typically require reliable internet access, strong communication skills, and the ability to work independently. Job responsibilities depend on the specific role but generally involve supporting healthcare services, managing member inquiries, or ensuring compliance with health plan policies.
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$52K - $65K/yr
Full-time
Medical, Dental, Vision, PTO
Posted yesterday
Job description
The Supervisor, Revenue Cycle oversees day-to-day billing coordinator operations and directly contributes to claim submission, denial resolution, and AR follow-up. Reports to the Manager, Revenue Cycle. Accountable for team-level delivery on clean claim rate, denial management, timely filing, and AR targets. Hands-on, active RCM billing experience is a non-negotiable requirement for this role.
Responsibilities
Supervise billing coordinators daily — queue assignments, workflow oversight, and productivity.
Conduct first-line quality review on flagged claims; enforce documentation and coding standards.
Monitor payer timely filing windows; ensure no claim expires due to late submission.
Own denial triage, assignment, and resubmission workflow; escalate systemic trends to the Manager with root cause documentation.
Drive AR follow-up across the team with focus on 30+ and 90+ day buckets.
Support weekly AR reconciliation, rate validation, and month-end close activities.
Enforce note-lock compliance with Clinical Operations; run month-end sweep to close with zero unbilled encounters.
Lead daily huddles and weekly 1:1s; deliver coaching, written feedback, and performance documentation.
Partner with the Manager on coordinator onboarding and ongoing training.
Step in to produce claims, work denials, and follow up on AR when volume or staffing requires; maintain audit-ready records.
Skills Required
Production-level proficiency in Office Ally and Availity — able to step into any coordinator queue and execute.
Working knowledge of eClinicalWorks (eCW) or comparable EHR.
Full command of the claim lifecycle: eligibility, coding, modifiers, submission, denial, appeal, and posting.
Medi-Cal billing rules; experience across ECM, CalAIM, and managed care programs.
Microsoft Excel and Google Workspace for AR, production, and denial reporting.
Proven ability to supervise, coach, and hold staff accountable while maintaining personal production.
Written communication for coaching documentation, denial appeal letters, and payer correspondence.
Preferred Qualifications
Direct experience in ECM, CalAIM, or Community Supports.
Familiarity with IEHP, Molina, CalOptima, Health Net, and Anthem portals and requirements.
Experience with capitated PMPM and per-encounter billing models.
Experience reading Power BI or comparable BI dashboards.
Competencies
Team leadership — holds coordinators to production and quality standards; models expectations through direct execution.
Operational discipline — runs the queue, closes the day, owns the week.
Payer fluency — maintains current knowledge of each health plan’s rules and timelines.
Analytical rigor — reads production and denial reports; identifies patterns and proposes fixes.
Execution under pressure — month-end close, payer deadlines, audit requests.
Integrity — will not submit or allow a claim that cannot be supported by documentation.
Requirements
Job Requirements
Education: Associate’s degree in business, healthcare administration, or related field required; Bachelor’s preferred. Equivalent RCM experience considered.
Experience: Minimum 3 years of current, hands-on RCM billing experience required — claim submission, denials, appeals, and AR. Minimum 1 year supervisory or team lead experience over billing staff required. Medi-Cal or managed care experience preferred.
Certification (preferred): Revenue cycle or billing credential preferred.
Schedule: Monday through Friday, 8:30 AM – 5:00 PM PST (required, non-negotiable).
Travel: None. Fully remote within California.
Location: California residency preferred.
Compensation & Benefits: Range set by People Team, commensurate with experience. Full benefits included.
Benefits
- Medical, dental, and vision insurance
- Paid time off + holidays
- Competitive pay
- Remote work flexibility
- Professional growth and development opportunities