Revenue Cycle Mangement Supervisor

Elevation Autism Center

About The Position

The Revenue Cycle Management (RCM) Supervisor is responsible for ensuring that all insurance and patient billing is processed correctly for all locations, and all clinician and location credentialing is submitted and maintained. Additionally, they provide training, track department progress, identify process and training gaps, and support the team in benefit verifications and authorization submissions. They delegate duties as necessary and work closely with the Director of RCM & Systems to create and monitor department goals. At Elevation Autism Center, we are more than a locally owned provider of ABA and Speech therapy; we are a values-driven community committed to empowering children and families through compassionate, evidence-based care. We believe in supporting our team as much as we support our clients. If you have a passion for leading teams and fostering development in a supportive environment, Elevation Autism Center is the perfect place for you!

Requirements

3-5 years of healthcare revenue cycle or medical billing experience
2+ years of supervisory or team lead experience
Strong knowledge of insurance billing, authorizations, denials, and AR management
Experience with credentialing and payor processes
Familiarity with EHR/billing systems and healthcare compliance (HIPAA)
Strong organizational, analytical, and communication skills
Ability to work effectively with cross-functional teams in a remote environment

Nice To Haves

Direct ABA industry experience is a plus

Responsibilities

Ensure accurate client onboarding and maintenance of insurance documents and verification of benefits
Maintain authorizations and claims information in CABS electronic billing system for assigned clients and payors
Accurately update client benefits in practice management systems
Process claims and ensure timely filing for all primary and secondary payors. Ensure AR for assigned locations does not exceed 5% for over 30 days
Research denied claims before adjusting balances
Provide support and collaborate with team on processing corrected, voided, and manual claims
Process patient billing and payments according to timelines
Ensure payments are applied to client accounts according to accounting processes
Obtain and maintain individual clinician certifications and credentials as per payor and state requirements
Coordinate contracting for all new Elevation Autism Center locations as per payor and state requirements
Gather and submit requested records for payor audits
Follow HIPAA, state, and local laws when handling client information
Understand and communicate patient benefits to stakeholders, as needed
Supervise semi-monthly eligibility audits
Oversee team in requesting authorizations for services from primary and secondary insurers
Work with Clinical and Operations to ensure new and ongoing clients have accurate and timely documentation and submission of requests, to avoid lapses in services
Participate in appeals process, as needed
Obtain single case agreements, as needed
Run AR report for 30+ days for all team members weekly and ensure that claims listed match claims in task management systems; communicate with team on claims that are missing
Communicate with team and Leadership on issues that are preventing timely and accurate billing
Review and resolve issues related to claim generations, clean claim ratios, rejected claims, and denied billing
Monitor and report on department goals such as AR by location, claim errors, and other goals as created by Leadership
Elevate issues with payors and report improvement plans, as appropriate
Provide support to team on basic records requests (e.g., Katie Beckett waivers)
Ensure development of team by conducting training for new and existing staff and complete regular reviews
Work collaboratively with the team to identify challenges and inefficiencies and present possible solutions
Support in the creation and updating of billing department processes and procedures
Train new hires on assigned tasks
Serve as the internal “expert” for Elevation payors, by regularly researching changes to policies, providing support, training and resources to other team members, as needed
Research current insurance laws, processes pertaining to ABA, Speech, and Elevation Autism Center services, etc.
Other duties related to client billing and RCM, as assigned (e.g. special projects, payor fee negotiations, etc.)

Benefits

Health Reimbursement Account: $550 per month for individual, or $900 per month for family (Eligible at date of hire)
Retirement Matching: Up to 3% of salary annually (Eligible for match after 6 months)
Vision, Dental, STD, and Other Voluntary Benefits available (Eligible after 30 days)
Paid Time Off (PTO): 15 days annually
Paid Company Holidays: 10 days annually
Unpaid Time Off: 10 days annually
Paid Family Leave Policy

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