RCM Supervisor - Billing

Vital Care Infusion Services•Pittsburgh, PA

1h•$48,972 - $61,215

About The Position

The RCM Supervisor - Billing plans for and manages Specialist positions across initial intake, billing, and collections. The supervisor cultivates outstanding customer service in interactions with franchise partners, payers, and patients. The role oversees referral processing, insurance benefit investigations and verifications, prior authorizations, billing, and collections. It manages staffing and schedules to meet key performance indicators, monitors quality and productivity, resolves escalated complaints, maintains operating procedures, audits transactions and claims, and develops team performance through hiring, training, coaching, and mentoring.

Requirements

Highly effective communication skills, including listening, understanding, speaking, and writing.
Solid business knowledge and ability to analyze data and identify actions.
Team-building and leadership skills, including the ability to influence, lead, teach, train, counsel, and coach.
Ability to identify training requirements and develop and implement training models.
Knowledge of current pharmacy applications and Microsoft Office, including strong Excel proficiency.
Customer service and leadership skills to develop a customer-centric culture and foster ownership of the customer and patient experience.
Ability to foster care and compassion for patients while pursuing performance objectives.
Ability to collaborate across functional teams and manage projects.
Analytical skills, business acumen, problem-solving ability, and sound professional judgment.
2–3 years of experience in an infusion setting.
At least 3 years of supervisory experience.
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 processing of new patient referrals, insurance benefit investigations and verifications, prior authorizations, billing, and collections.
Manage Reimbursement Specialist schedules and allocate 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 member escalations.
Implement customer service standards and train and mentor staff in customer service and collection techniques.
Reconcile reimbursement checks against claims for some programs, as needed.
Guide and train Reimbursement Specialists in patient insurance billing, collections, benefit investigation, and insurance authorizations; balance workloads and schedules to meet demand and service standards.
Audit team transactions for accuracy, appropriate escalation, and policy 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 departmental performance metrics.
Evaluate performance and provide counseling, cross-training, and coaching to associates.
Maintain mutually respectful employer relations.
Perform other related duties as assigned.

Benefits

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 support.
Rewards programs offered by the medical carrier.
Professional development and growth opportunities.
Employee Referral Program.