Collections Supervisor / Remote

BrightSpring Health Services•Englewood, CO

6d•Remote

About The Position

The Supervisor, Payer Collections is responsible for overseeing the daily operations of the revenue cycle team within the specialty pharmacy and home infusion specialty. This role ensures the accuracy, efficiency, and compliance of all collections and accounts receivable activities. The Supervisor, Payer Collections will lead a team focused on optimizing revenue and cash flow while maintaining the highest levels of patient satisfaction and compliance with industry regulations.

Requirements

Minimum of 5 years of experience in revenue cycle management, preferably within a specialty pharmacy or home infusion setting.
At least 2 years of supervisory or management experience in a similar role.
Strong knowledge of healthcare billing, coding, and reimbursement processes, including experience with Medicare, Medicaid, and commercial payers.
Proficient in revenue cycle management software and Microsoft Office Suite.
Excellent leadership, communication, and problem-solving skills.
Ability to analyze complex data, identify trends, and implement effective solutions.
Strong attention to detail and commitment to accuracy and compliance.

Nice To Haves

Bachelor’s degree in healthcare administration, business administration, or a related field strongly preferred but not required.

Responsibilities

Supervises and mentors the RCM collections staff and patient account representatives
Conducts regular performance evaluations, provide constructive feedback, and implement development plans to enhance team skills and productivity
Coordinates and leads team meetings to ensure alignment with company goals and objectives
Develops and implements training programs to keep the team updated on the latest industry standards and regulatory changes
Oversees the entire collections process from billing to collections, and coordinate with payment posting
Ensures timely and accurate collection efforts involving various payer types (Medicare, Medicaid, Commercial, and Private Pay)
Monitors and manage accounts receivable to minimize bad debt
Reviews key performance indicators (KPIs) and generate reports to identify trends, areas for improvement, and opportunities for revenue enhancement
Develops and implements strategies to optimize revenue cycle performance and cash flow, including process improvements and automation initiative.
Monitors workload of staff; makes recommendations to management of staffing needs prior to workload becoming unmanageable and performance suffers.
Ensures that all billing and collections activities comply with federal, state, and payer-specific regulations
Collaborates with the compliance team to stay informed about changes in healthcare laws and payer requirements
Performs regular audits of collections processes to ensure accuracy and compliance
Addresses and resolve any issues related to claims denials, underpayments, or patient disputes
Works closely with clinical, finance, and IT teams to ensure seamless integration of revenue cycle processes with patient care and financial reporting
Collaborates with the authorization and intake teams to ensure accurate and timely submission of required documentation
Partners with the cash team to reconcile accounts receivable and ensure accurate financial reporting
Manages HR related tasks including timecard approvals, monitoring attendance, and managing leave requests
Ensures timely and accurate submission of employee timecards in accordance with company policies
Assists with onboarding new team members, ensuring they receive the necessary training and resources
Oversees the distribution of equipment to remote and on-site team members, including coordinating shipments and maintaining inventory of company-provided equipment
Facilitates regular communication with HR to address team-related issues and ensure compliance with policies and procedures
Oversees patient billing inquiries and ensure a high level of customer service
Implements strategies to improve patient satisfaction related to billing and payment processes
Ensures that patient communications are clear, accurate, and comply with industry standards