Spvr - Rev Cycle Regional- Must have HB, PB and Denials experience

Carle Health•Normal, IL

About The Position

The Supervisor of Revenue Cycle Regional AR reports to the Manager of Revenue Cycle Regional AR and is accountable for the daily operations, staff, and associated portfolios within the assigned area. The role provides leadership, administrative support, recommendations, and direction for managing regional accounts receivable. It analyzes business office operations to support effective and efficient revenue cycle management and oversees personnel matters, resources, productivity, quality, customer service, and timely follow-up and collection of outstanding receivables. The supervisor monitors daily workflow and staff performance, maintains working knowledge of the functions and systems used across assigned areas, and partners with the Manager and other internal departments to support effective clinical and financial operations. The role also supports budgeting, staff scheduling and development, timekeeping, performance management, compliance, reporting, process improvement, and system enhancements. The position requires hospital billing (HB), professional billing (PB), and denials experience.

Requirements

Experience in revenue cycle.
Experience with hospital billing (HB), professional billing (PB), and denials.
Associate's degree in a related field, or qualifying work experience in lieu of education.
Working knowledge of CPT, ICD, and HCPCS code sets, HIPAA transaction code sets, and payer rules and regulations.
Proficiency in relevant system applications for assigned portfolios, including Epic, Meditech, and Mediquant.

Responsibilities

Oversee daily department workflow, staffing, productivity, and quality against established performance standards.
Maintain knowledge of supervised job functions, systems, coding and HIPAA transaction code sets, and payer rules and regulations.
Use associated system applications for assigned portfolios, including Epic, Meditech, and Mediquant.
Partner with the Manager and internal departments to support effective clinical and financial operations.
Provide input to the department’s annual budget and follow the budget in collaboration with the Manager.
Create and manage staff schedules, review and approve timecards, manage paid leave requests, and handle Kronos/timekeeping responsibilities.
Ensure staff are trained and competent to perform required tasks.
Communicate with internal and external customers.
Maintain internal controls and safeguards over revenue cycle activities.
Recommend or initiate personnel actions, including hiring, promotion, transfer, discharge, and discipline; complete staff performance evaluations and annual reviews.
Serve as a resource and mentor to others and assist employees with work-related matters.
Support the Manager in analyzing financial data, monitoring performance, and establishing departmental benchmarks.
Serve as a first point of contact for system analysts regarding system performance issues and enhancements across Revenue Cycle.
Conduct regularly scheduled staff meetings and collaborate on departmental, enterprise-wide, and external initiatives.
Perform required Carle Experience tasks, including regular staff rounding and completing reports for productive monthly meetings with the supervisor.
Handle quality assurance and compliance matters and escalated account issues in accordance with policy and the Code of Conduct.
Participate in appropriate continuing education or certification activities.
Maximize cash, minimize bad debt, and prevent receivables from aging beyond acceptable time frames.
Prepare and analyze management summary reports, communicate findings, and complete end-of-month analysis for associated business lines.
Create, update, and maintain departmental policies and procedures to support best practices.
Collaborate with internal management teams to identify best practices and process flows for associated business lines.
Partner with Accounting and Systems to ensure accurate revenue tracking, capture, and reporting for assigned portfolios.
Identify system enhancement opportunities, assist with implementation alongside Revenue Cycle Systems, and monitor the process after implementation.
Perform other duties as assigned.