Revenue Cycle Supervisor – Patient Accounts

Next Move Healthcare•White Plains, NY

5d•Onsite

About The Position

The Revenue Cycle Supervisor – Patient Accounts is responsible for supporting the daily operations of the Patient Accounts and Revenue Cycle function, with a primary focus on the billing, reimbursement, follow-up, and collection of third-party accounts. This position oversees staff performance, monitors accounts receivable activity, analyzes productivity and quality metrics, and identifies opportunities to improve workflows, training, and overall financial performance. The Supervisor also serves as a key resource and escalation point for complex hospital billing, insurance reimbursement, payment, and follow-up issues. The successful candidate will bring strong back-end revenue cycle experience, including hospital billing, insurance reimbursement, third-party billing, accounts receivable follow-up, and payer-related issue resolution.

Requirements

High school diploma or GED.
Minimum of 3 years of Patient Accounts or Revenue Cycle experience.
Strong back-end Revenue Cycle experience.
Experience with hospital billing and reimbursement.
Experience working with commercial insurance, governmental payers, and other third-party billing and reimbursement processes.
Knowledge of accounts receivable follow-up, payment resolution, collections, and payer requirements.
Ability to analyze account activity, identify billing or reimbursement issues, and assist with resolution.
Strong interpersonal and communication skills with the ability to work effectively with staff, leadership, patients, insurance plans, vendors, and other internal and external stakeholders.
Ability to communicate clearly and professionally in English, both verbally and in writing.
Ability to handle sensitive and confidential financial and patient information with discretion and integrity.
Strong organizational skills and ability to manage multiple priorities in a fast-paced Revenue Cycle environment.
Ability to remain professional and composed while addressing escalated or complex situations.
Proficiency with standard office technology and hospital billing or Revenue Cycle systems.
Healthcare Business Insights (HBI) one-time certification course required prior to start date.

Nice To Haves

Associate degree.
Previous supervisory, team lead, or staff development experience within Patient Accounts or Revenue Cycle.
Experience with hospital-based accounts receivable and third-party payer follow-up.
Knowledge of medical terminology.
Experience reviewing Revenue Cycle productivity, quality, accounts receivable, and reimbursement reports.

Responsibilities

Oversee and coordinate daily Patient Accounts activities related to hospital billing, third-party reimbursement, collections, and accounts receivable follow-up.
Ensure accounts are billed, worked, and followed up accurately, timely, and in accordance with applicable regulations, payer requirements, and organizational policies.
Provide technical guidance and support to Revenue Cycle staff regarding complex billing, payment, reimbursement, denial, and follow-up issues.
Serve as an escalation point for internal and external billing and reimbursement concerns.
Monitor accounts receivable activity and identify trends that may impact collections, reimbursement, productivity, or financial performance.
Compile, analyze, and report weekly staff productivity and quality metrics, communicating positive and negative trends to management.
Review trial balance and other accounts receivable reports to monitor staff performance, account status, and necessary adjustments.
Assist leadership in developing and implementing processes, procedures, and controls to identify and resolve discrepancies related to third-party payments.
Maintain current knowledge of hospital billing requirements, reimbursement regulations, payer policies, and governmental standards.
Ensure staff adherence to applicable managed care contract terms, payer requirements, and reimbursement guidelines.
Lead and participate in payer meetings to address billing, reimbursement, payment, and account resolution issues.
Assist in developing, updating, and maintaining department policies, procedures, training materials, job aids, competencies, and employee training records.
Develop and conduct staff training related to systems, applications, billing procedures, payer requirements, and Revenue Cycle workflows.
Recruit, onboard, and train new employees.
Participate in employee performance discussions and assist management with evaluations, coaching, and counseling as needed.
Monitor the performance of external vendors and collection agencies, including inventory and invoice reconciliation.
Troubleshoot vendor-related issues and serve as a point of escalation for concerns arising from external partnerships.
Supervise and monitor billing activities to third-party payers and agencies.
Review and complete the Medicare Credit Balance Report on a quarterly basis.
Review pre-collection reports and assist with preparing eligible accounts for transfer to bad debt and outside collection agencies.
Ensure compliance with organizational financial assistance policies and applicable regulations.
Prepare routine departmental reports as well as ad-hoc reporting requested by management.
Assist the Manager with preparation of materials, departmental initiatives, and operational reviews.
Participate in special projects and Revenue Cycle improvement initiatives.
Develop and submit departmental goals and objectives as required.
Keep the Manager and Director informed regarding departmental performance, operational concerns, staffing issues, and significant payer or reimbursement matters.
Participate in continuing education and professional development activities to maintain current Revenue Cycle and reimbursement knowledge.
Adhere to organizational performance standards, policies, procedures, and professional expectations.
Perform additional related duties as assigned.