Supervisor, Revenue Cycle Management (2040)

US Heart & Vascular•Franklin, TN

21h•Remote

About The Position

US Heart and Vascular is needing a Remote Revenue Cycle Management Supervisor to join our team. Position Summary: The Revenue Cycle Management Supervisor oversees all aspects of the billing process to ensure accuracy, efficiency, and compliance. This role is responsible for managing an established team of AR specialists, providing guidance and support, ensuring timely and accurate submission of medical claims to insurance companies, and resolving complex billing issues.

Requirements

Proficient in medical terminology, anatomy, and physiology
Strong knowledge of ICD-10 coding
Familiarity with medical office procedures and billing practices
Flexible, Detail Oriented, Customer focus, Team working, Initiative, Problem solving, Organized, Self-motivated
Adopt the USHV culture of respect, integrity and accountability that contribute to an internal environment of teamwork and promote a positive brand image to our external customers.
Incorporate a leadership mindset to your role.
Comply with USHV procedures, policies, and regulations relevant to your role.
High School Diploma or equivalent required
Strong knowledge of the accounts receivables (A/R) process
At least five years healthcare or insurance billing processing experience required
At least two years in a supervisory role is preferred
Knowledge of medical terminology, CPT, ICD-10-CM, HCPC codes, CCI edits and HIPAA regulations

Nice To Haves

Bachelor's Degree in a related field preferred
eClinicalWorks experience is a plus

Responsibilities

Ensure timely and accurate transmission of claims
Monitor and manage AR performance indicators to meet or exceed goals
Ensures billing operations are performed in an accurate and timely manner
Provide leadership, guidance, and support to billing staff to ensure productivity and morale
Evaluates billing processes and procedures and assists management in developing revisions
Execute process improvement directives to streamline billing procedures and enhance efficiency
Perform claim status follow up activities utilizing the current Practice management (PM), and clearinghouse systems.
Utilize clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc.
Establish and maintain effective working relationships with carrier representatives and internal and external clients.
Work with billing vendors to ensure that client requests for information (RFIs) and tasks are completed accurately and timely
Remain abreast of carrier/payer updates as it relates to Billing and Collections guidelines including claim submissions, claim appeals, grievance procedures and policy changes
Trains and oversees the personnel involved in billing functions
Directs assigned tasks and aids as needed
Reviews work of billing staff to ensure accuracy, resolving inconsistencies as needed
Assists with performance evaluations
This is a working position and will need to be able to help in various billing functions