RCM Supervisor - Billing
About The Position
The RCM Supervisor - Billing plans for and manages Specialist positions and functions involving initial intake, billing, and collections. The supervisor serves as the company’s voice in interactions with franchise partners, payers, and patients, cultivating an environment focused on outstanding customer service. The role oversees referral processing, insurance benefit investigations and verifications, prior authorizations, billing, and collections. It manages schedules and workload to meet key performance indicators, resolves escalated complaints, maintains operating procedures and compliance expectations, and monitors quality and productivity. The supervisor also audits transactions and claims activity, identifies training needs, and guides, trains, and coaches team members to improve performance and the patient experience.
Requirements
- Highly effective communication skills, including listening, understanding, speaking, and writing.
- Solid business knowledge and ability to analyze data and identify actions.
- Strong team-building and leadership skills, including the ability to influence, teach, train, counsel, and coach.
- Ability to identify training requirements and develop and implement training models.
- Knowledge of current pharmacy applications and MS Office, including strong Excel proficiency.
- Strong customer service and leadership skills to build a customer-centric culture and support a compassionate patient experience while meeting performance objectives.
- Ability to collaborate across functional teams and manage projects.
- Analytical skills, business acumen, problem-solving ability, and sound professional judgment.
- Minimum 3 years of supervisor experience.
- 2–3 years of experience in an infusion setting.
- Knowledge of all Vital Care systems, including CareTend and the RCM Portal.
- Knowledge of payer compliance.
Nice To Haves
- Bachelor’s degree in business or equivalent work experience preferred.
Responsibilities
- Supervise the processing of new patient referrals, insurance benefit investigations and verifications, prior authorizations, billing, and collections.
- Manage Reimbursement Specialist schedules and reallocate resources to meet KPIs; track workload distribution and assess staffing needs.
- Resolve escalated franchise partner and patient complaints.
- Implement, communicate, and maintain operating procedures for functional areas, quality, compliance, and performance expectations.
- Monitor team results for compliance with quality and productivity expectations and identify opportunities for improvement.
- Collaborate with Payor/Benefit support programs to resolve missing claims reports and handle member escalations.
- Establish customer service standards and train and mentor staff in customer service and collection techniques.
- Reconcile reimbursement checks against claims for some programs, as needed.
- Provide guidance, training, and skills development in patient insurance billing, collections, benefit investigations, and insurance authorizations.
- Balance workload and manage schedules to meet demand and service standards.
- Audit team transactions for accuracy, appropriate escalation, and compliance; identify training opportunities.
- Review claims acceptance and rejection reports and take necessary steps to correct and resubmit rejected claims.
- Interview, select, train, and assign department associates; provide direction and mentoring.
- Develop and communicate individual and department performance metrics.
- Evaluate performance and provide counseling, cross-training, and coaching to associates while maintaining mutually respectful employer relations.
- Perform other related duties as assigned.
Benefits
- Comprehensive medical, dental, and vision plans.
- Flexible spending and health savings accounts.
- Paid time off, personal days, and company-paid holidays.
- Paid paternal leave.
- Volunteerism days off.
- Company-sponsored basic life insurance and long-term disability insurance.
- Employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
- 401(k) matching.
- Tuition reimbursement.
- Employee assistance programs for mental health, financial, and legal needs.
- Rewards programs offered by the medical carrier.
- Professional development and growth opportunities.
- Employee referral program.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
