Revenue Cycle Supervisor

Compassus•Brentwood, TN

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 role prepares weekly and monthly reports and reconciliations, performs Revenue Cycle Reviews, and directs, coordinates, and evaluates the Revenue Cycle team. The supervisor completes episode realignments and payor changes, researches and resolves account issues, supports complaints and appeals, and ensures billing documentation and processes meet industry standards and government regulations. The role monitors performance indicators, reports metrics and trends, and performs other duties as assigned.

Requirements

Minimum of five years of progressive, relevant experience and/or training.
Ability to perform basic arithmetic, including calculating rates, ratios, and percentages.
Ability to read and interpret business periodicals, professional journals, technical procedures, and governmental regulations.
Ability to write reports, business correspondence, and procedure manuals, and to present information and respond to questions from leaders, team members, investors, and external parties.
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 and dedication to company standards and growth.
Ability to perform the physical demands described, including regular standing, walking, manual dexterity, and lifting or moving objects up to 25 pounds; visual requirements include 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.

Responsibilities

Complete episode realignments and payor changes, collaborating with relevant team members to ensure timely completion and billing.
Research and resolve accounts and identify gaps between current and former payor requirements and existing billing documentation.
Ensure accounts are billed correctly 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 denied medical treatment or services, advocate for patients during the appeals process, and answer customer calls about denied appeals.
Manage patient complaints related to billing and collections.
Ensure policies and best practices meet industry standards and government regulations.
Use technical-documentation best practices 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 weekly and monthly reports and reconciliations and perform Revenue Cycle Reviews.
Direct, coordinate, and evaluate the Revenue Cycle team.
Perform other duties as assigned.