RCM Supervisor - Billing

Vital Care Infusion Services • Houston, TX

6d • $48,972 - $61,215

About The Position

Vital Care is a pharmacy franchise business supporting locally owned infusion pharmacies and clinics across the United States. The RCM Supervisor - Billing plans for and manages Specialist positions covering patient intake, billing, and collections, while serving as the company’s voice in interactions with franchise partners, payers, and patients. The role fosters outstanding customer service and oversees the team’s performance, staffing, quality, compliance, and professional development.

This is a full-time position with a salary range of $48,972–$61,215. Vital Care is a U.S.-based employer and hires individuals authorized to work in the United States who perform their work from within the United States. Applicants and employees must accurately disclose their work location and authorization status. Vital Care participates in E-Verify and is an equal-opportunity employer.

Requirements

• 2–3 years of experience in an infusion setting.
• At least 3 years of supervisor experience.
• Knowledge of all Vital Care systems, including CareTend and the RCM Portal.
• Knowledge of payer compliance.
• Highly effective communication skills, including listening, understanding, speaking, and writing.
• Solid business knowledge and ability to analyze data to identify actions.
• Ability to lead by example and build teams; influence, lead, teach, train, counsel, and coach to accomplish organizational goals.
• Ability to identify training requirements and develop and implement training models to improve results.
• Knowledge of current pharmacy applications and Microsoft Office, including strong Excel proficiency.
• Strong customer service and leadership skills to develop a customer-centric culture and promote ownership of the customer and patient experience.
• Ability to foster care and compassion for patients while encouraging performance that exceeds objectives.
• Ability to collaborate across functional teams and manage projects.
• Analytical skills, business acumen, problem-solving ability, and professional judgment in analyzing business issues and exploring resolutions.

Nice To Haves

• Bachelor’s degree in business or equivalent work experience is preferred.

Responsibilities

• Supervise the team’s processing of new patient referrals, insurance benefit investigations and verifications, prior authorizations, billing, and collections.
• Manage Reimbursement Specialist schedules and reallocate resources to meet key performance indicators and service demands.
• Track workload distribution and conduct ongoing needs assessments to identify staffing opportunities.
• Serve as an escalation agent to resolve franchise partner and patient complaints.
• Implement, communicate, and maintain operating procedures covering functional areas, quality, compliance, and performance expectations.
• Monitor team results for compliance with quality and productivity expectations and identify improvement opportunities.
• Collaborate with Payor/Benefit support programs to resolve missing claims reports and member escalations.
• Implement customer service standards and ensure compliance; 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 account accuracy, appropriate escalation, and compliance with policies and procedures; identify training opportunities.
• Review claims acceptance and rejection reports and take necessary actions to correct and resubmit rejected claims.
• Interview, select, train, and assign department associates; provide direction and mentoring.
• Develop and communicate individual and departmental performance metrics; evaluate performance and provide counseling, cross-training, and coaching.
• Maintain mutually respectful employer relations and perform other related duties as assigned.

Benefits

• Comprehensive medical, dental, and vision plans
• Flexible spending and health savings accounts
• Paid time off and personal days
• 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 support
• Rewards programs offered by the medical carrier
• Professional development and growth opportunities
• Employee Referral Program

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed