RCM Supervisor - Billing

Vital Care Infusion Services•Monroeville, PA

6d•$48,972 - $61,215

About The Position

Vital Care is seeking an RCM Supervisor to plan for and manage specialist functions involving patient intake, billing, and collections. The supervisor will serve as the company’s voice in interactions with franchise partners, payers, and patients, fostering outstanding customer service. This full-time position oversees reimbursement specialists, supports compliance and quality, and helps ensure effective team performance.

Requirements

Highly effective communication skills, including listening, understanding, speaking, and writing.
Solid business knowledge and ability to analyze data and identify appropriate actions.
Team-building and leadership ability, including influencing, teaching, training, counseling, and coaching.
Ability to identify training needs and develop and implement training models.
Knowledge of current pharmacy applications and MS Office software, 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 promoting 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 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 improvements.
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 and train Reimbursement Specialists in patient insurance billing, collections, benefit investigations, and authorizations; balance workload and schedules to meet demand and service standards.
Audit team transactions for accuracy, appropriate escalation, and compliance; review claims acceptance and rejection reports and 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 respectful employer relations.
Perform other related duties as assigned.