RCM Supervisor - Billing

Vital Care Infusion Services•Monroeville, PA

3d•$48,972 - $61,215

About The Position

The RCM Supervisor - Billing plans for and manages specialist functions involving initial intake, billing, and collections. The supervisor cultivates outstanding customer service in interactions with franchise partners, payers, and patients. This role oversees reimbursement specialists and their schedules, workloads, training, performance, and adherence to operating procedures, quality requirements, and compliance expectations. The position also monitors billing and claims activity, addresses escalations, and identifies opportunities to improve team performance and service.

Requirements

Highly effective communication skills, including listening, understanding, speaking, and writing.
Solid business knowledge and ability to analyze data and identify appropriate 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.
Demonstrated knowledge of current pharmacy applications and Microsoft Office, including strong Excel proficiency.
Strong 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 motivating staff to exceed performance objectives.
Ability to collaborate across functional teams and manage projects.
Analytical skills, business acumen, proven problem-solving ability, and sound professional judgment in analyzing business issues and exploring resolutions.
2–3 years of experience in an infusion setting.
At least 3 years of supervisory experience.
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 team processing 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 franchise partner and patient complaints as an escalation agent.
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 ensure compliance; train and mentor staff in customer service and collection techniques.
Reconcile reimbursement checks against claims for some programs, as applicable.
Provide guidance, training, and skills development in patient insurance billing, collections, benefit investigation, and insurance authorizations; balance workloads and manage schedules according to 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 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 to associates; maintain mutually respectful employer relations.
Perform other related duties as assigned.

Benefits

Comprehensive medical, dental, and vision plans.
Flexible spending accounts and health savings accounts.
Paid time off, personal days, and company-paid holidays.
Paid parental leave.
Volunteer 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.