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Adaptive Solutions Group
http://www.adaptivesg.com
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Accounts Receivable Supervisor
Overview
We are seeking an experienced Accounts Receivable Supervisor to lead a team focused on billing, claims resolution, payment posting, and collections. This role is critical to ensuring accurate revenue cycle operations, regulatory compliance, and effective cross-functional collaboration. The ideal candidate will bring strategic leadership, hands-on expertise, and a commitment to continuous improvement.
Key Responsibilities
Payment Posting & Reconciliation
Denial Management, Appeals & Audits
Billing & Claims Submission
Collections & Account Follow-Up
Compliance & Controls
Reporting & Analytics
Team Leadership & Oversight
Required Qualifications
Preferred Qualifications
Benefits
Adaptive Solutions Group offers a competitive compensation and benefits package including medical, dental, STD/LTD, life insurance, 401k, paid vacation, and holidays.
Accounts Receivable Supervisor- Legal
7 Southridge Drive , Suite 107 St. louis, MO 63146 US
Posted: 10/14/2025
2025-10-14
2026-01-02
Employment Type:
Contract to Hire
Job Category: Accounts Payable/Receivable
Job Number: 17299
Job Description
Accounts Receivable Supervisor
Overview
We are seeking an experienced Accounts Receivable Supervisor to lead a team focused on billing, claims resolution, payment posting, and collections. This role is critical to ensuring accurate revenue cycle operations, regulatory compliance, and effective cross-functional collaboration. The ideal candidate will bring strategic leadership, hands-on expertise, and a commitment to continuous improvement.
Key Responsibilities
Payment Posting & Reconciliation
- Post payments via EFT, credit card, ACH, live check, and insurance remittances
- Reconcile EOBs, remittance advices, and claim documentation
- Resolve discrepancies and manage authorized write-offs
- Oversee daily balancing and monthly reconciliation of AR sub-ledgers
Denial Management, Appeals & Audits
- Lead audit preparation and follow-up
- Analyze denial trends and guide appeal strategies
- Manage Medicare appeals across multiple levels
- Support internal and external audit processes
Billing & Claims Submission
- Ensure timely and accurate claim submissions across payers
- Coordinate billing for government contracts and purchase orders
- Monitor outsourced billing partners for compliance
- Validate coding and procedural accuracy
Collections & Account Follow-Up
- Supervise team handling unpaid claims and patient accounts
- Resolve complex account issues and negotiate payment plans
- Track aging balances and reduce days outstanding
- Oversee escalation protocols
Compliance & Controls
- Ensure adherence to healthcare regulations and internal policies
- Maintain documentation, training materials, and internal controls
- Prepare schedules for year-end and regulatory reviews
- Monitor compliance trends and adjust workflows
Reporting & Analytics
- Develop dashboards and performance metrics
- Audit team output and identify process improvements
- Conduct root cause analysis and propose corrective actions
- Support strategic decision-making with ad hoc analyses
Team Leadership & Oversight
- Hire, train, and coach AR team members
- Conduct performance reviews and set team goals
Required Qualifications
- Bachelor’s degree in Accounting, Finance, Healthcare Administration, or related field (or equivalent experience)
- 5+ years in medical billing, AR management, or revenue cycle roles
- Experience with Medicare/Medicaid billing and appeals
- Strong understanding of billing systems, coding, and claims adjudication
- Proficiency in MS Office (especially Excel) and ERP systems
- Excellent analytical and communication skills
Preferred Qualifications
- Experience in device-based or home medical billing environments
- Familiarity with government contract billing
Benefits
Adaptive Solutions Group offers a competitive compensation and benefits package including medical, dental, STD/LTD, life insurance, 401k, paid vacation, and holidays.
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Must-Have Skills & Responsibilities:
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10+ years of Healthcare Appeals experience, with a proven ability to manage complex, high-level appeal cases.
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Expertise leading advanced appeals, including strategy development, case preparation, and escalation management.
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Paralegal background strongly preferred, as legal knowledge aligns closely with the responsibilities and strengthens case advocacy.
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Ability to represent cases before an Administrative Law Judge (ALJ) for medical denial hearings. This role requires advocating on behalf of patients to overturn benefit denials and ensure continuity of their care.
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Strong courtroom-style presence, able to present persuasive arguments professionally and confidently during phone-based ALJ hearings.
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Significant preparation for hearings, with an estimated 15–20 hours of case review and documentation per month; typically 1–6 hearings monthly, averaging ~4 hours spent in hearings.
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Supervisory leadership over a team of 4–6 AR Specialists, providing guidance, performance oversight, and support in day-to-day operations.
Job Requirements
Revenue Cycle
