Supervisor, Complex Claims

Supervisor, Complex Claims at R1 RCM in Boise, Idaho, United States Job Description R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industrys most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.? As our Supervisor, Complex Claims (Revenue Cycle Operations), you will help ensure daily execution, team accountability, and timely complex claims resolution for assigned client hospital accounts. Every day you will supervise and support team members in meeting productivity, quality, and revenue goals; monitor work queues, claims inventory, and performance metrics to address barriers and prioritize work; and provide hands-on coaching, issue resolution, and escalation support for complex payers and claim challenges. To thrive in this role, you must be an organized, detail-oriented frontline leader who can coach effectively, reinforce process adherence, and respond quickly to operational issues in a high-volume environment. Heres what you will experience working as our Supervisor, Complex Claims: + Providing day-to-day leadership and coaching for Complex Claims team members + Managing inventory and workflow priorities to support timely claim resolution and revenue realization + Tracking productivity, aging, recovery, quality, and compliance metrics to identify trends and risks + Reinforcing standardized workflows, payer guidelines, and compliance expectations through training and feedback + Escalating systemic issues and recommending process improvements based on frontline observations Required Skills: + Associate or Bachelors degree or equivalent combination of education and relevant experience + 3-5 years of revenue cycle experience, preferably in complex claims, billing, appeals, or collections + 1+ year of lead, acting supervisor, or people leadership experience preferred + Working knowledge of payer processing, reimbursement methodologies, and claims resolution strategies + Experience using analytics or reporting tools; Power BI exposure preferred For this US-based position, the base pay range is $46,664.00 - $72,250.29 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. This job is eligible to participate in our annual bonus plan at a target of 5.00% The healthcare system is always evolving - and its up to us to use our shared expertise to find new solutions that can keep up. On our growing team youll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team - including offering a competitive benefits package. (R1 RCM Inc. (the Company) is dedicated to the fundamentals of equal employment opportunity. The Companys employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any persons age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories. If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at View phone number on click.appcast.io for assistance. CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent (Consent Notice.pdf) To learn more, visit: Visit us on Facebook (R1 is the leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: . To view full details and how to apply, please login or create a Job Seeker account