RCM Supervisor - Billing

Vital Care Infusion Services•Houston, TX

7d•$48,972 - $61,215

About The Position

The RCM Supervisor - Billing plans for and manages specialist functions involving initial intake, billing, and collections. The role cultivates outstanding customer service in interactions with franchise partners, payers, and patients. It supervises staff and workflows across referrals, insurance benefit investigations and verifications, prior authorizations, billing, and collections; monitors performance, quality, compliance, and productivity; and allocates team resources to meet service standards and KPIs. The supervisor also provides guidance, training, coaching, and escalation support, and helps maintain accurate, compliant reimbursement and claims processes.

Requirements

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.
Highly effective communication skills, including listening, understanding, speaking, and writing.
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 develop a customer-centric culture and promote ownership of the customer and patient experience.
Ability to work collaboratively across functional teams and manage projects.
Analytical and problem-solving skills, business acumen, and sound professional judgment.

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 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 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.
Guide, train, and develop Reimbursement Specialists in patient insurance billing, collections, benefit investigations, and insurance authorizations; balance workload and manage schedules.
Audit team transactions for accuracy and appropriate escalation, identify training opportunities, review claims acceptance and rejection reports, and correct and resubmit rejected claims as needed.
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 while maintaining 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.