RCM Supervisor - Billing

Vital Care Infusion Services•Tucson, AZ

1d•$48,972 - $61,215

About The Position

Vital Care is a U.S.-based pharmacy franchise business serving patients with chronic and acute conditions through locally owned infusion pharmacies and clinics. The RCM Supervisor - Billing plans for and manages Specialist positions involved in patient intake, billing, and collections. The role represents the company in interactions with franchise partners, payers, and patients, and cultivates an environment focused on outstanding customer service. The supervisor oversees referral processing, insurance benefit investigation and verification, prior authorization, billing, and collections. The role manages staff schedules and workload distribution to meet key performance indicators and service standards, monitors quality and productivity, and identifies staffing, training, and process-improvement needs. The supervisor also handles escalations, audits transactions and claims, supports compliance and operating procedures, and hires, trains, mentors, and evaluates department associates. This is a full-time position. The salary range is $48,972–$61,215. Vital Care states that it hires individuals authorized to work in the United States who perform their work from within the United States, and participates in E-Verify.

Requirements

Highly effective communication skills, including listening, understanding, speaking, and writing.
Solid business knowledge and ability to analyze data to identify actions.
Leadership by example and team-building skills, including the ability to influence, 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 software, including strong Excel proficiency.
Strong customer service and leadership skills to develop a customer-centric culture and instill 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 and business acumen, including proven problem-solving ability and sound professional judgment in analyzing business issues and exploring options for resolution.
Two to three years of experience in an infusion setting.
At least three years of supervisor 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 is preferred.

Responsibilities

Supervise the 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 and service standards.
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 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 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.
Provide guidance, training, and skills development to Reimbursement Specialists in patient insurance billing, collections, benefit investigation, and insurance authorizations.
Audit team transactions for accuracy and appropriate escalation in compliance with policies and procedures, and identify training opportunities.
Review claims acceptance and rejection reports; take necessary actions to correct and resubmit rejected claims.
Interview, select, train, and assign department associates; provide direction and mentoring.
Develop and communicate performance metrics to assess individual and departmental effectiveness.
Evaluate performance and provide counseling, cross-training, and coaching to associates.
Maintain mutually respectful employer relations.
Perform other related duties as assigned.