Revenue Cycle Supervisor - Billing

Vital Care Infusion Services•Monroeville, PA
•$48,972 - $61,215

About The Position

The Revenue Cycle Supervisor plans for and manages Specialist positions and functions involving initial intake, billing, and collections. The role cultivates outstanding customer service in interactions with franchise partners, payers, and patients. The supervisor oversees team performance and staffing, establishes procedures and service standards, supports staff development, audits transactions and claims, and works to resolve escalated issues and improve operational results.

Requirements

  • Highly effective communication skills, including listening, understanding, speaking, and writing.
  • Solid business knowledge and ability to analyze data and identify actions.
  • Ability to lead by example and build teams; influence, teach, train, counsel, and coach others toward organizational goals.
  • Ability to identify training requirements and develop and implement training models to improve results.
  • Demonstrated knowledge of current pharmacy applications and Microsoft Office, including strong Excel proficiency.
  • Strong customer service and leadership skills, including the ability to develop a customer-centric culture and promote ownership of the customer and patient experience.
  • Ability to foster care and compassion for patients while encouraging performance that exceeds objectives.
  • Ability to collaborate across functional teams and manage projects.
  • Analytical skills and business acumen, with proven problem-solving ability and sound professional judgment in analyzing business issues and exploring resolutions.
  • Two to three years of experience in an infusion setting.
  • At least three years of supervisor 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 is preferred.

Responsibilities

  • Supervise processing of new patient referrals, insurance benefit investigations and verifications, prior authorizations, billing, and collections.
  • Manage Reimbursement Specialist schedules and reallocate resources to meet KPIs; track workload distribution 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 improvement opportunities.
  • Collaborate with Payor/Benefit support programs to resolve missing claims reports and member escalations.
  • Establish customer service standards and ensure compliance; train and mentor staff in customer service and collection techniques.
  • Reconcile reimbursement checks against claims for some programs, as applicable.
  • Guide, train, and develop Reimbursement Specialists in patient insurance billing, collections, benefit investigation, and insurance authorizations; balance workloads and schedules against demand and service standards.
  • Audit team transactions for accuracy, appropriate escalation, and compliance; identify training opportunities.
  • Review claims acceptance and rejection reports and take necessary steps to 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 mutually respectful employer relations.
  • Perform other related duties as assigned.

Benefits

  • Comprehensive medical, dental, and vision plans, plus flexible spending and health savings accounts.
  • Paid time off, personal days, and company-paid holidays.
  • Paid paternal leave.
  • Volunteerism days off.
  • Company-sponsored basic life insurance and long-term disability insurance; employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
  • 401(k) matching.
  • Tuition reimbursement.
  • Employee assistance programs for mental health, financial, and legal support.
  • Rewards programs offered by the medical carrier.
  • Professional development and growth opportunities.
  • Employee Referral Program.
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