Note: The job is a remote job and is open to candidates in USA. Behavioral Health Network, Inc. (BHN) is a mission-driven behavioral health organization serving individuals, families, and communities throughout Western Massachusetts. The Accounts Receivable Supervisor oversees revenue cycle operations, manages an assigned team, analyzes revenue performance, and supports claim resolution, denial prevention, reporting, and financial efficiency.
Responsibilities
- Supervises daily activities of the denial and follow-up team to ensure timely and effective claim resolution by conducting regular team meetings, provides performance feedback (Individual One on One), trains and mentors staff on payer guidelines, denial codes, appeal processes, program guidelines, and customer service standards
- Monitors aged claims, follow-up buckets and ensures proactive follow-up with insurance companies, government payers, and third-party administrators and ensures it is done consistently and timely
- Oversees the identification, categorization, and root cause analysis of denied claim to ensure appropriate and timely appeal submission, reconsiderations, or corrected claim and done timely, while developing and implementing denial prevention strategies based on trend and root cause analysis
- Maintains accurate documentation of follow-up and appeal activities for audit readiness, monitors and reports on Key metrics such as Denial rate, appeal success rate, Days in accounts receivable (A/R), and claims touch per days per staff
Skills
- High School Diploma or GED required
- 2-3 years' management experience required
- 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
- Associate's Degree or 3-5 years prior health-care revenue cycle analyst experience (if no degree) preferred
- Mass Behavioral Health knowledge a plus
Benefits
- Purpose-Driven Work – Make a meaningful impact in the lives of individuals, families, and communities throughout Western Massachusetts.
- Professional Growth – Access ongoing training, mentorship, career development, and advancement opportunities across one of the region's largest behavioral health organizations.
- Supportive Team Culture – Join a collaborative workplace guided by our HEART values: Humanity, Empowerment, Accountability, Respect, and Teamwork.
- Stability & Opportunity – Build your career with a well-established organization serving Western Massachusetts since 1938.
- Comprehensive Benefits – Generous PTO, 403(b), educational assistance, medical, dental, vision, employee assistance programs, and more.
- Certified Great Place to Work – Work for an organization recognized for creating a positive and engaging employee experience.
Company Overview