Revenue Cycle Supervisor

Alliance Residential Company•Grand Rapids, MI

16h

About The Position

The Revenue Cycle Supervisor oversees patient billing and insurance claims for more than 100 outpatient physical therapy facilities across 15 states and supervises a team of approximately 25. The role uses reports and data to monitor department and individual KPIs and productivity, and reports directly to the Manager of RCM. Areas of responsibility include accounts receivable follow-up, denials management, cash posting, EDI activities, Patient Services, and other assigned duties. The supervisor is accountable for KPI and metric improvement, team performance, training, documentation, process alignment, quality, and regulatory compliance. The role leads staff and collaborates with organizational leadership on process improvements, while helping ensure excellent customer service and optimum revenue capture. It also provides direction and guidance on revenue cycle functions and maintains external relationships with relevant agencies, payers, auditors, vendors, professional associations, and industry counterparts.

Requirements

Five years of proven, progressive experience in healthcare receivables management and people management preferred.
Effective verbal and written communication skills and computer literacy.
Patient confidentiality, helpfulness, and patience in customer service.
Detail orientation, problem-solving ability, and efficiency.
Accountability for department performance improvement and ability to provide team leadership and motivation.
Ability to accurately audit payment data entry against carrier explanations of benefits.
Ability to accurately audit posting of electronic remittance advices.
Ability to follow internal standards, policies, and procedures to optimize reimbursement and workflow.
Working knowledge of 835 and 277 rejection and denial reason codes, including Remittance Advice Remark Codes (RARC), Claim Adjustment Reason Codes (CARC), and payer-specific adjustment and denial codes.
Knowledge of carrier-specific guidelines and fee schedules.
Ability to follow up on claims to ensure timely payment for secondary claims.

Nice To Haves

Bachelor’s degree from an accredited institution in a related field; equivalent field experience is accepted.
CPC (Certified Professional Coder) certification.

Responsibilities

Improve KPIs and metrics in assigned areas and hold the team accountable for meeting goals and objectives.
Ensure team education and training, and document current processes.
Maintain processes and procedures in alignment with organizational goals.
Collaborate with the leadership team on process improvement initiatives.
Ensure the quality of training materials, operating policies and procedures, team quality audits, interviewing, payroll, and coaching and mentoring.
Supervise staff; participate in interviews; train employees; evaluate performance in collaboration with the manager; discuss performance problems with managers and follow up with staff; and delegate assignments effectively.
Ensure policies and operating plans are followed and that excellent customer service and optimum revenue capture are provided.
Supervise the team to ensure compliance with regulatory guidelines for coding and billing and regulations governing relationships among entities.
Serve on appropriate committees for forms development and standards.
Provide short- and long-term direction, guidance, and leadership to staff, managers, and executive teams in revenue cycle functions, and support consistent, reliable information dissemination throughout the organization.
Develop and maintain external relationships with regulatory agencies, third-party payers, auditors, professional associations, vendors, and counterparts in other organizations; monitor and influence external forces affecting receivables.
Perform other duties or responsibilities that senior management may deem necessary.