Job DescriptionWhat will you do in this role?The Supervisor, Payer Revenue Management is responsible for overseeing and managing the daily operations within their assigned area of the Revenue Cycle, with a focus on professional billing. This includes oversight of billing workflows, payment posting, denial management, and cash reconciliation. The role is critical to ensuring operational efficiency, optimizing team performance, and upholding a high standard of service, accuracy, and compliance.
This position is responsible for monitoring key performance indicators, conducting quality assurance reviews, and overseeing the generation and reconciliation of billing reports and monthly statements. Working closely with cross-functional teams including coding, patient access, finance, and revenue integrity, the Payer Revenue Management Supervisor identifies and resolves issues affecting reimbursement, compliance, and the overall patient financial experience.
Through continuous improvement and best practices, the supervisor position supports the overall success of revenue cycle operations and contributes to improved financial performance and patient satisfaction:
- Promotes an organizational focus by implementing goals that align with health system priorities, fostering collaboration across departments, supporting interdepartmental problem-solving, and championing innovative practices that improve operational efficiency.
- Maintains appropriate staffing levels and leads key personnel actions, including hiring, transfers, promotions, terminations, salary adjustments, time-off requests, disciplinary actions, and overtime approvals, in accordance with organizational policies.
- Functions as a positive, creative, and effective leader by actively engaging in performance improvement initiatives and supporting the development and implementation of staff education programs. Actively contributes to both short- and long-term planning initiatives.
- Ensures a strong customer service focus within the department by modeling professional behavior, responding to customer feedback, and promoting a culture of accountability and responsiveness.
- Ensures compliance with all applicable federal, state, and local laws, as well as health system policies, procedures, and protocols, for the areas under supervision.
- Maintains a positive work environment by ensuring staff receive appropriate training, fostering a culture of self-direction and continuous growth, and applying HR policies consistently and fairly.
- Participates in budget development for assigned areas and support effective labor and supply cost management, while identifying opportunities for revenue enhancement.
- Collaborates with internal and external departments and partners across the Cedars-Sinai Health System to resolve workflow issues and improve process efficiencies.
- Regularly reviews, monitors, and reports on departmental productivity and service quality metrics to ensure alignment with performance goals.
- Ensures staff consistently meet the needs of patients, providers, and internal collaborators in alignment with the health system's mission, vision, values, and strategic goals.
QualificationsRequirements:- High School Diploma/GED required. Bachelor's degree in finance, accounting or other related major preferred
- A minimum of 3 years Hospital or professional billing and collections supervisory/leadership experience required. Professional billing experience is highly preferred.
- 5 years Healthcare revenue cycle operations, including professional billing is preferred.
