RCM Supervisor

This position provides leadership and training to the RCM Department, under direction of the Senior Manager of Revenue Cycle Management. The successful candidate will have excellent attention to detail, have the highest standard of customer service, excellent written and verbal communications skills and be proficient in revenue cycle management.

•          Works as liaison between back office payers and operations.

•          Provides support to the RCM Manager.

•          Assists the RCM Manager in providing ongoing leadership, oversight, support, and training to RCM staff.

•          Works with payers and State Directors on resolution of claims issues.

•          Set up monthly meetings and phone calls to give AR status and Top 5 challenges regarding AR.

•          Work with Trainer in developing staff training on new RCM tasks and systems and provide training and ongoing support to RCM staff.

•          Learn new programs that pertain to Billing and Accounts Receivable processes.

•          Keep current with payer rules and CMS updates.

•          Effectively communicates with our payers, State Directors and VP's.

•          Work with payers on claims appeals.

•          Review all unbilled and unapplied spreadsheets.

•          Properly files documents after payment application.

•          Provides monthly reports to the RCM Director, RCM Assistant Director and Regional Staff.

•          Meet department deadlines.

•          Process audit requests timely and accurately.

•          Follows SOX processes..

•          Takes the lead on monitoring assigned projects to completion.

•          Performs other duties as assigned to ensure the successful operations of Company

• →Assures the completion of supervisory responsibilities in accordance with the organization's policies and applicable laws, including interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• The noise level in the work environment is usually moderate.

• This position may require travel.

• High School Diploma or equivalent

• Associates Degree

• N/A

• Language Skills

Ability to read, analyze, and interpret the most complex documents. Ability to respond effectively to the most sensitive inquiries or complaints. Ability to make effective and persuasive presentations on complex topics to top management, staff, or other public groups.

• Computer skills: MS Office, Billing Applications
• Supervisory and management skills
• Customer Service Skills
• Organizational skills
• Knowledge of billing, collections and payment posting
• Knowledge of EDI reports

 

Interpersonal skills and ability to interact and work with staff at all levels. Drive and ability to handle multiple tasks in a fast-paced environment

Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret and problem solve a complex array of variables.

Ability to work with mathematical and financial concepts.

EMPLOYEE SIGNATUREDATE

SUPERVISOR SIGNATUREDATE