Astrana Health, Inc.
Supervisor - Claims Revenue Recovery
Astrana Health, Inc., Monterey Park, California, us, 91756
Overview
Job Title:
Supervisor - Claims Revenue & Recovery Department:
Ops - Claims Ops Employment Type:
Full Time Location:
1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To:
Liza Espanto Compensation:
$80,000 - $90,000 / year Description
The Revenue & Recovery Claims Supervisor is responsible for overseeing the daily operations of the claims recovery and revenue integrity team. This role ensures accurate processing of claims, identification of recovery opportunities, compliance with regulatory and contractual recoupment procedures, and effective resolution of discrepancies. The Supervisor provides leadership, guidance, and performance management for staff while partnering with internal departments and external stakeholders to optimize revenue and minimize financial risk. What You'll Do
Supervise the day-to-day operations of the revenue and recovery claims team, ensuring accuracy, efficiency, and compliance Monitor claims processing and recovery activities to identify trends, issues, and opportunities for improvement Ensure proper review, validation, and resolution of claim discrepancies, denials, overpayments, and underpayments Collaborate with payers, providers, and internal teams to address revenue recovery and reconciliation issues Develop and implement policies, procedures, and performance standards aligned with organizational goals Generate and analyze reports to track performance, recovery outcomes, and key metrics Train, coach, and mentor team members; provide regular feedback and performance evaluations Support audits, compliance reviews, and reporting requirements related to claims recovery, notices, and revenue integrity Escalate unresolved or complex issues to management with recommendations for resolution Foster a positive, collaborative team culture focused on accountability and continuous improvement Other duties as assigned Qualifications
Education: Bachelors degree in healthcare administration, business, finance, or related field (or equivalent experience) Experience: 35 years in healthcare claims, revenue cycle, or recovery operations At least 2 years in a supervisory or team lead role Knowledge/Skills: Strong understanding of healthcare claims processing, reimbursement methodologies, and regulatory requirements Familiarity with payer contracts, denials management, and revenue recovery strategies Proficiency with claims systems, reporting tools, and Microsoft Office Suite (Excel, Word, Outlook) Excellent analytical, organizational, and problem-solving skills Strong leadership, communication, and interpersonal abilities Attributes: You thrive on solving problems and turning complex claims issues into clear resolutions You enjoy leading and developing people, helping them grow while keeping the team focused on results You're detail-oriented and analytical, but can also see the big picture when it comes to revenue cycle impact You communicate clearly and confidentlywhether youre collaborating with your team, explaining data, designing letter templates, or addressing payers and providers Youre adaptable and embrace change as an opportunity to improve processes and outcomes You take accountability, and display ownership of results and find satisfaction in driving efficiency, accuracy, and recovery success Environmental Job Requirements and Working Conditions
Our organization follows a hybrid work structure where expectation is to work both in office and at home on a weekly basis and or with potential need to attend meetings onsite. The office is located at 1600 Corporate Center Drive, Monterey Park, CA 91754 The total compensation target pay range for this role is: $80,000 - $90,000. The salary range represents our national target range for this role.
#J-18808-Ljbffr
Job Title:
Supervisor - Claims Revenue & Recovery Department:
Ops - Claims Ops Employment Type:
Full Time Location:
1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To:
Liza Espanto Compensation:
$80,000 - $90,000 / year Description
The Revenue & Recovery Claims Supervisor is responsible for overseeing the daily operations of the claims recovery and revenue integrity team. This role ensures accurate processing of claims, identification of recovery opportunities, compliance with regulatory and contractual recoupment procedures, and effective resolution of discrepancies. The Supervisor provides leadership, guidance, and performance management for staff while partnering with internal departments and external stakeholders to optimize revenue and minimize financial risk. What You'll Do
Supervise the day-to-day operations of the revenue and recovery claims team, ensuring accuracy, efficiency, and compliance Monitor claims processing and recovery activities to identify trends, issues, and opportunities for improvement Ensure proper review, validation, and resolution of claim discrepancies, denials, overpayments, and underpayments Collaborate with payers, providers, and internal teams to address revenue recovery and reconciliation issues Develop and implement policies, procedures, and performance standards aligned with organizational goals Generate and analyze reports to track performance, recovery outcomes, and key metrics Train, coach, and mentor team members; provide regular feedback and performance evaluations Support audits, compliance reviews, and reporting requirements related to claims recovery, notices, and revenue integrity Escalate unresolved or complex issues to management with recommendations for resolution Foster a positive, collaborative team culture focused on accountability and continuous improvement Other duties as assigned Qualifications
Education: Bachelors degree in healthcare administration, business, finance, or related field (or equivalent experience) Experience: 35 years in healthcare claims, revenue cycle, or recovery operations At least 2 years in a supervisory or team lead role Knowledge/Skills: Strong understanding of healthcare claims processing, reimbursement methodologies, and regulatory requirements Familiarity with payer contracts, denials management, and revenue recovery strategies Proficiency with claims systems, reporting tools, and Microsoft Office Suite (Excel, Word, Outlook) Excellent analytical, organizational, and problem-solving skills Strong leadership, communication, and interpersonal abilities Attributes: You thrive on solving problems and turning complex claims issues into clear resolutions You enjoy leading and developing people, helping them grow while keeping the team focused on results You're detail-oriented and analytical, but can also see the big picture when it comes to revenue cycle impact You communicate clearly and confidentlywhether youre collaborating with your team, explaining data, designing letter templates, or addressing payers and providers Youre adaptable and embrace change as an opportunity to improve processes and outcomes You take accountability, and display ownership of results and find satisfaction in driving efficiency, accuracy, and recovery success Environmental Job Requirements and Working Conditions
Our organization follows a hybrid work structure where expectation is to work both in office and at home on a weekly basis and or with potential need to attend meetings onsite. The office is located at 1600 Corporate Center Drive, Monterey Park, CA 91754 The total compensation target pay range for this role is: $80,000 - $90,000. The salary range represents our national target range for this role.
#J-18808-Ljbffr