Revenue Cycle Supervisor

Summary: As a Revenue Cycle Supervisor, you supervise patient billing and insurance claims for 100+ outpatient physical therapy facilities across 15 states. Your job duties include using reports and data to supervise a team of approximately 25. This role will be responsible to monitor KPIs and productivity at a department and at an individual level. This position will report directly to the Manager of RCM. The Revenue Cycle Supervisor areas of responsibility-include A/R follow-up, denials management, cash posting, EDI activities, Patient Services & other duties as assigned.

Essential Duties and Responsibilities

The Revenue Cycle Supervisor is responsible for KPI and metric improvements in assigned areas of responsibility and holds the team accountable for meeting goals and objectives. This role ensures team education, training and current processes are documented. Maintains process and procedure in alignment with organizational goals.

Collaborates with the leadership team on process improvement initiatives. Ensures the quality of training materials, operating policies and procedures, team quality audits, interviewing, payroll and coaching/mentoring the team. Supervises staff; participates in interviews, trains; evaluates employee performance in collaboration with the manager; discusses performance problems with the managers and follows-up with staff as appropriate; delegates work assignments effectively.

Ensures policies, and operating plans are being followed appropriately and that excellent customer service is provided along with optimum revenue capture. Supervises a team to ensure conformance to all regulatory guidelines pertaining to Coding and Billing as well as all levels of regulatory compliance involving relationships among entities.

Serves on appropriate committees for forms development and standards. Provides clear short- and long-term direction, guidance, and leadership to staff, managers, and executive teams in revenue cycle functions and supports the dissemination of consistent, reliable information throughout the organization. Represents the organization by developing and maintaining external relationships with regulatory agencies, third party payers, auditors, professional associations, vendors, and counterparts in other organizations and monitors/influences external forces impacting receivables.

This list of duties is not intended to be all-inclusive and may be expanded to include other duties or responsibilities that senior management may deem necessary. Qualifications/Skills: Bachelor’s degree from an accredited institution in a related field preferred - equivalent experience in field accepted. Five (5) years of proven, progressive experience in healthcare receivables management + people management preferred.

CPC (Certified Professional Coder) preferred. Communication: Effective verbal and written skills, computer literate Customer Service: Patient confidentiality, helpful, patience Organizational: Detail oriented, problem-solving abilities, efficient Team Skills: Accepts accountability for department performance improvement.

Can provide team leadership and motivation. Demonstrate ability to accurately audit data entry for payments as indicated by carrier explanation of benefits. Demonstrate ability to accurately audit posting of electronic remittance advices. Follow appropriate internal standards, policies and procedures to provide optimal reimbursement and maximize workflow.

Maintain a working knowledge of 835 and 277 rejection and denial reason codes (Remittance Advice Remark Codes (RARC) and Claim Adjustment Reason Codes (CARC)) along with payer specific adjustment and denial codes. Demonstrate knowledge of carrier specific guidelines and fee schedules. Provide follow thru on claims to ensure timely payment for secondary claims.