RCM Supervisor - Billing

Vital Care Infusion Services•Phoenix, AZ

About The Position

Vital Care is a pharmacy franchise business with more than 100 franchised infusion pharmacies and clinics in 35 states. The RCM Supervisor - Billing plans for and manages specialist functions involving patient intake, billing, and collections. The role serves as the company’s voice in interactions with franchise partners, payers, and patients, and cultivates outstanding customer service. This is a full-time position with a salary range of $48,972–$61,215.

Requirements

Two to three years of experience in an infusion setting.
At least three years of supervisory experience.
Highly effective listening, understanding, speaking, and writing skills.
Business knowledge and the ability to analyze data and determine appropriate actions.
Team-building and leadership skills, including the ability to influence, teach, train, counsel, and coach.
Ability to identify training needs and develop and implement training models.
Knowledge of current pharmacy applications and Microsoft Office, including strong Excel proficiency.
Customer service and leadership skills to build a customer-centric culture and promote ownership of the customer and patient experience.
Ability to foster care and compassion for patients while promoting performance objectives.
Ability to collaborate across functional teams and manage projects.
Analytical and problem-solving skills, business acumen, and sound professional judgment.
Knowledge of 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 redistribute resources to meet key performance indicators and service standards.
Track workload distribution and assess staffing needs.
Resolve escalated franchise partner and patient complaints.
Implement, communicate, and maintain procedures for functional areas, quality, compliance, and performance expectations.
Monitor team results for quality and productivity compliance and identify improvement opportunities.
Collaborate with payer and benefit support programs to resolve missing claims reports and member escalations.
Implement customer service standards and ensure compliance with them.
Train and mentor staff in customer service and collection techniques.
Reconcile reimbursement checks against claims for some programs, as needed.
Guide, train, and develop Reimbursement Specialists in patient insurance billing, collections, benefit investigation, and insurance authorizations.
Audit team transactions for accuracy, appropriate escalation, and compliance; identify training opportunities.
Review claims acceptance and rejection reports, and correct and resubmit rejected claims as necessary.
Interview, select, train, assign, direct, and mentor department associates.
Develop and communicate individual and departmental performance metrics.
Evaluate performance and provide counseling, cross-training, and coaching.
Maintain mutually respectful employer relations.
Perform other related duties as assigned.