Superivsor, OSM

Location: Franklin, Tennessee, United States — Remote

Company

hirify.global provides specialty revenue cycle management solutions for healthcare organizations through its E360 RCM intelligent automation platform and expert claims-management services.

What you will do

• Supervise assigned Revenue Services teams and serve as the escalation point for client and claims-resolution issues.
• Analyze claim payments and payment documentation to assess reimbursement compliance with applicable fee schedules and PPO contracts.
• Research medical records, invoices, and supporting documentation, then submit claim packets or appeal letters to insurers.
• Manage client communications, reports, meetings, system-access requests, document requests, and process-improvement discussions.
• Coordinate with Data Analytics, Data Quality, and Document Management teams to resolve claim, payment, calculation, and documentation issues.
• Hire, train, mentor, evaluate, and manage the performance of team members while performing quality-control activities.

Requirements

• High school diploma or GED required; an associate or bachelor’s degree is a plus.
• Five years of healthcare billing or collections experience and five years of client-facing or customer-service experience.
• One to two years of supervisory or team-lead experience.
• Intermediate understanding of insurance payer/provider claims processing and related data requirements.
• Strong computer proficiency, including Microsoft Word, Excel, and Outlook.
• Strong communication, analytical, problem-solving, prioritization, coaching, and client-service skills.

Nice to have

• Three to five years of workers’ compensation billing and collections experience.
• Associate or bachelor’s degree.

Culture & Benefits

• Remote work in a general office environment.
• Focus on professional growth, employee development, cooperation, and shared goals.
• Support for work-life balance and a flexible, family-oriented workplace culture.
• Equal opportunity employment and consideration for reasonable accommodations.