RCM AR Supervisor

Primary Health Solutions•Hamilton, OH

About The Position

The Revenue Cycle Supervisor oversees revenue cycle operations in collaboration with the Director and Senior Revenue Cycle Manager to ensure timely and accurate reimbursement. The role oversees staff, reviews system and clearinghouse issues, and works with the Payer Coordinator to resolve payer issues. The supervisor handles initial patient issues and collaborates with RCM management and a third-party billing company on revenue cycle processes. The role also leads training efforts to support performance management and efficient, compliant operations in line with leadership priorities and organizational goals. The supervisor manages Revenue Cycle personnel performing account management, eligibility, communication with insurance providers, collections, cash posting, contract analysis, and billing. The position requires effective customer service, communication, dependability, attention to quality, and productivity. It also involves use of practice management and electronic medical record systems, Microsoft Office 365, patient portals, phone systems, text paging, the Internet, and the Intranet.

Requirements

High school diploma required.
Five years of experience in physician-related billing, including eligibility, charges, payments, denials, and appeals.
Some hands-on coding knowledge and/or experience required.
Experience with EMR/EFT systems required; examples listed include Epic, NextGen, Athena, and E-Clinical Works.
Proficiency in Microsoft Office applications and medical office software.
Sound knowledge of health insurance providers.
Ability to multitask and work in a team environment.
Knowledge of professional fee billing, reimbursements, third-party payer regulations, and medical terminology.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence and speak effectively before groups of customers or employees.
Ability to solve practical problems and interpret instructions provided in written, oral, diagram, or schedule form.
Ability to gain proficient knowledge of current practice management systems, electronic medical records, Microsoft Office 365, patient portals, phone systems, text paging, the Internet, and the Intranet.
Frequently stand, walk, use hands to handle or feel, reach, and talk or hear; occasionally sit and stoop, kneel, crouch, or crawl; regularly lift and/or move up to 25 pounds.
Meet the stated visual requirements, including close and distance vision, peripheral vision, depth perception, and ability to adjust focus.

Nice To Haves

Associate’s degree preferred.
Specialty experience is a plus.
NextGen experience is a plus; NextGen certificates are desirable.
FQHC experience is a plus.
Payer Enrollment knowledge or experience is a plus.

Responsibilities

Manage RCM staff performance by providing regular feedback and conducting one-on-one meetings.
Identify patient reimbursement issues involving claims, denials, and appeals, and resolve billing issues.
Collaborate with RCM management and the Payer Enrollment Coordinator to resolve provider issues.
Work with RCM management and Operations to ensure accurate billing information is obtained.
Review financial hardship applications using the sliding fee scale and submit them to RCM management for approval.
Manage patient complaints and escalate them to RCM management when appropriate.
Train front desk staff, practice managers, and other staff on payer processes.
Work with coding and quality staff to educate providers on correct coding practices.
Work directly with payers to resolve claims issues.
Collaborate with the Senior RCM on payer contracts for review with the Director of Revenue Cycle Management and Payer Coordinator.
Assist with and cover RCM and payer enrollment follow-up needs as needed.
Supervise Revenue Cycle personnel in account management, eligibility, insurance-provider communications, collections, cash posting, contract analysis, and billing.