Revenue Cycle Supervisor

Compassus•Bay City, MI

About The Position

The Revenue Cycle Supervisor models Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation; promotes the Compassus philosophy using the 6 Pillars of Success; upholds the Code of Ethical Conduct; and fosters positive working relationships across the company and with external stakeholders. The supervisor prepares timely weekly and monthly reports and reconciliations, performs Revenue Cycle Reviews, and directs, coordinates, and evaluates the Revenue Cycle team. The role handles episode realignments and payer changes, resolves billing issues, supports patient and provider appeals and complaints, and monitors revenue cycle performance. It also helps ensure policies, practices, and documentation meet industry standards and government regulations. Compassus describes a culture focused on compassionate care, professional growth, innovation, recognition, and belonging. The company offers competitive pay, flexible time off, tuition reimbursement, wellness programs, mentorship, leadership pathways, and personalized professional development.

Requirements

At least five years of progressive, relevant experience and/or training.
Strong mathematical skills, including calculating rates, ratios, and percentages.
Ability to read and interpret business publications, professional journals, technical procedures, and governmental regulations; write reports, business correspondence, and procedure manuals; and present information effectively and respond to questions.
Strong written and verbal communication skills.
Ability to understand, read, write, and speak English.
Strong analytical, organizational, and time-management skills.
Ability to learn quickly, build and maintain long-term relationships, and work with minimal supervision.
Commitment to excelling in collections, company standards, and growth.
Ability to perform regular standing and walking and manual dexterity tasks, and to lift and move objects up to 25 pounds.
Visual ability for close and distance vision, color and peripheral vision, depth perception, and adjusting focus.

Nice To Haves

Bachelor's degree highly preferred.
Experience in home health, hospice, palliative care, or infusion preferred.
Knowledge of commercial and third-party insurance accounts, including Medicaid, managed care, HMO, PPO, auto, and workers' compensation rules and collection guidelines preferred.
Lean Six Sigma certification, or knowledge and training in Continuous Process Improvement, highly desired.
Ability to articulate and embrace the integrated healthcare-at-home philosophy.

Responsibilities

Complete episode realignments and payer changes, coordinating with necessary team members to ensure timely completion and billing.
Research and resolve accounts, identify gaps between current and former payer requirements and billing documentation, and ensure correct billing for open and future invoices.
Gather, analyze, and report documentation for verbal, written, and expedited member and provider complaints, grievances, and appeals.
Prepare and report documentation supporting verbal and written provider claims and pre-authorization appeals.
Assist patients appealing denials of medical treatment or services, advocate for patients during the appeals process, answer customer calls about denied appeals, and provide additional information when needed.
Manage patient complaints related to billing and collections efficiently.
Ensure policies and best practices meet industry standards and government regulations.
Use best practices for technical writing when creating SOPs and other documentation.
Monitor system issues and ensure daily, weekly, and monthly key performance indicators are met or exceeded.
Compile and present reports on metrics and trends as needed.
Prepare timely weekly and monthly reports and reconciliations and perform Revenue Cycle Reviews.
Direct, coordinate, and evaluate the Revenue Cycle team.
Perform other duties as assigned.