Job Overview

The Operations Supervisor provides direct leadership to the Account Resolution Specialists (levels I–IV) and the Operations Team Lead. This position is accountable for daily oversight of claim resolution activities, including edits, denials, and appeals, while ensuring productivity, accuracy, and compliance with payer and organizational standards. The role focuses on performance management, staff development, and process improvement

Job Duties and Responsibilities

· Supervise team members, providing regular one-on-one sessions and coaching. 

· Lead interviews and hiring for Account Resolution Specialists and Team Leads.

· Ensure team members consistently comply with HIPAA, state, and federal laws and guidelines.

· Provide training, mentorship, and onboarding for new and existing staff on client and Currance workflows.

· Monitor productivity standards and quality, ensuring all team members meet expectations.

· Review weekly quality audits with staff, provide feedback, and deliver targeted coaching.

· Assess team member performance daily and provide coaching if key metrics are not achieved.

· Escalate employee deficiencies to management if coaching does not result in improvement.

· Communicate team and individual progress with the Operations Manager.

· Administer disciplinary actions and implement Employee Success Plans as needed.

· Promote a positive work environment and encourage teamwork.

· Review and approve team payroll for accuracy and timeliness.

· Complete performance evaluations for all direct reports.

· Analyze and review claim errors and rejections to identify trends and improvements.

· Stay current with payer updates and communicate changes to the team.

· Ensure adjustments are accurate and comply with client policies and procedures.

· Identify payer-specific issues and communicate them to the team and manager.

· Lead and participate in daily shift briefings to set expectations and share updates.

· Investigate problem accounts as identified.

· Escalate unresolved client IPO issues to management.

· Train all new hires on both client and Currance workflows.

· Collaborate with management to develop policies.

· Participate in limited travel as required.

· Attend client payor or internal meetings as requested.

· Complete all assigned projects in a timely manner and perform additional duties as needed.

Currance management is responsible for actively promoting compliance by integrating compliance messages into routine huddles, meetings, communications, and decision-making processes. This responsibility reinforces a culture of accountability, ethical conduct, and adherence to organizational policies and regulatory requirements. 

Qualifications

  Requirements & Qualifications

· High school diploma or equivalent required; Associate's degree preferred.

· Bachelor’s degree in healthcare management or a related field is preferred.

· CRCR certification required or must be obtained within 90 days of hire.

· At least 2 years in a supervisory or leadership role.

· At least 3 years of experience securing medical claim payments from health insurance companies, including managing claim follow-up and appeals with healthcare vendors or providers.

· Proven experience with complex insurance claims, high-value denials, and escalation strategies to secure payment.

· A minimum of 3 years’ experience with Artiva for account resolution workflows is preferred.

· Experience with EMR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or similar platforms for billing and account resolution.

Proficiency in Microsoft Office Suite, Teams, and various desktop applications. 

Knowledge, Skills, and Abilities

· Comprehensive understanding of healthcare revenue cycle administration, including CMS rules, HIPAA, payer rules, CARC/RARC codes, denial and appeal workflows, and claim resolution processes.

· Strong analytical skills, with proficiency in monitoring and interpreting productivity and quality metrics.

· Proficiency in time management, continuous performance improvement, management, leadership, written and verbal communication, basic math, computing, problem-solving, interpersonal communication, Microsoft Office, decision-making, and ethics.

· Ability to initiate and carry through on projects independently.

· Proficiency in monitoring and analyzing productivity and quality metrics.

· Willingness and ability to learn new software applications and processes.

· Ability to coach, mentor, and develop staff across multiple levels.

· Consistently positive attitude and professional demeanor.

· Eagerness to learn and grow professionally.

· Receptiveness to feedback and commitment to continual improvement.

· Professional interaction with colleagues at all times.

· Reliability, punctuality, and adaptability to change.

· Ability to demonstrate accountability, responsibility, and achievements within the revenue cycle.

· Strong written and verbal communication skills for staff and leadership interactions.

· Ability to manage competing priorities while maintaining accuracy and timeliness.

Ability to foster teamwork, accountability, and a positive work environment. 

Disclosure Statement:

As part of the Currance application and hiring experience, all candidates are subject to a criminal background check and a government exclusion check. The government exclusion check is a mandatory screening process that verifies whether an individual is listed on federal or state exclusion or watchlists, including but not limited to, the Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) and the System for Award Management (SAM.gov).

These screenings are conducted to ensure compliance with applicable federal and state laws and regulations, to protect the integrity of federally funded programs, the clients we support, and to prevent participation by individuals who are excluded due to fraud, abuse, or other misconduct. By submitting an application, candidates acknowledge and consent to these checks as a condition of employment or engagement.