RCM Director

MAEVILLE PEDIATRICS PLLC•Pearland, TX

6d•Onsite

About The Position

We are seeking a highly organized and experienced RCM Medical Billing Supervisor to lead our billing team. The ideal candidate will oversee the end-to-end revenue cycle management process, ensure accurate and timely billing, and optimize collections. This role requires strong leadership skills, in-depth knowledge of medical billing procedures, and the ability to collaborate effectively with healthcare providers and insurance companies. The RCM Medical Billing Supervisor plays a critical role in maintaining the financial health of our organization by ensuring compliance and maximizing revenue.

Requirements

Proven experience in medical billing, revenue cycle management, or a related role within a healthcare setting.
Strong leadership skills with the ability to manage a team effectively.
In-depth knowledge of medical coding (CPT, ICD-10), billing software, electronic health records (EHR), and payer requirements.
Excellent analytical skills with attention to detail for reviewing claims and resolving discrepancies.
Ability to communicate clearly with team members, healthcare providers, insurance representatives, and patients.
Familiarity with HIPAA compliance standards and healthcare regulations.
A proactive problem-solver with strong organizational skills to manage multiple priorities efficiently.

Nice To Haves

Prior experience with training staff and implementing process improvements is preferred.

Responsibilities

Supervise daily operations of the medical billing team, providing guidance and support to ensure accuracy and efficiency.
Review and approve billing submissions, claims, and adjustments to ensure compliance with industry standards and payer requirements.
Monitor accounts receivable aging reports and implement strategies to reduce denials and accelerate collections.
Train, mentor, and evaluate billing staff to promote professional development and maintain high performance standards.
Collaborate with healthcare providers to resolve billing discrepancies and patient account issues.
Ensure adherence to HIPAA regulations, payer policies, and organizational policies throughout the billing process.
Generate reports on billing performance metrics, identify trends, and develop action plans for continuous improvement.
Stay updated on changes in healthcare regulations, coding guidelines, and insurance policies affecting revenue cycle management.