Summary of JobThe role of an RCM Supervisor is to lead an RCM team in maximizing eMDs and client profitability, fulfilling contractual obligations, and providing our clients with high quality customer service.
Essential Duties and Responsibilities
• Maintain the strictest confidentiality in accordance with all HIPAA guidelines/regulations
• Use collection management system & reports to monitor accounts receivables
• Develop summaries of accounts for use in determining productivity & staffing levels
• Identify underlying issues that impact the success of collecting insurance claims
• Work with manager to develop and implement effective solutions for collections
• Stay abreast of code changes, updates to reimbursement guidelines and coverage policies
• Act as first level support for patient/client escalations
Essential Duties and Responsibilities
• Manage team; schedule/time off requests, project assignments, etc.
• Conduct team performance reviews as well as participate in the hire and termination of employees
• Coordinate new hire setup with infrastructure, third-party vendors, and clients
• Coordinate training on software processes and procedures for new department employees
• Assist RCM Manager with oversight of department policies and procedures
Skills & Requirements
Qualifications
• Considered a subject matter expert in healthcare revenue cycle
• Working knowledge of healthcare code sets, clean claim practices and adjudication process
• Ability to research and follow claims appeal guidelines/processes
• Understanding of complete healthcare revenue cycle
• Proficient in Microsoft Office Suite (Word, Excel, Outlook, SharePoint)
• Highly proficient in eMDs software offerings
• Highly organized and detail-oriented
Education and/or Experience
Minimum of five years' experience in a healthcare billing capacity and three years in a supervisory role required. Previous experience with electronic health records/practice management system required.
Language Skills
Employees are required to speak, read and write English
Certificates / Licenses / Registrations
Coding certificate required (CPC, CCS-P, etc.) or equivalent years' experience
Physical Demands / Work Environment
All employees must be able to lift 50lbs
