Supervisor - RCM

Sightview Software LLC provides a suite of industry-leading software specifically geared toward ophthalmology and optometry practices — practice management, surgical, revenue cycle management (RCM), MIPS reporting, and more. Sightview is a one-stop shop for eye care specialists and their patients.

JOB SUMMARY

We are a specialized eyecare billing organization serving ophthalmology practices, optometry practices, optical shops, and ambulatory surgery centers (ASCs). We're looking for an RCM Supervisor to lead a team of billing and coding professionals, own day-to-day revenue cycle performance across our client base, and turn claim and denial data into concrete process improvements. This is a hands‑on leadership role. You'll spend part of your time coaching and developing your team and part of it in the data — identifying trends, diagnosing root causes, and driving the changes that improve first‑pass yield, reduce denials, and accelerate cash. The right person combines deep eyecare coding expertise with the analytical instinct to see where the money is getting stuck and the leadership presence to fix it.

ESSENTIAL DUTIES & RESPONSIBILITIES

Team leadership & supervision Supervise, coach, and develop a team of billers, coders, and RCM specialists, including workload distribution, performance management, and professional development. Set clear productivity and quality standards, monitor against them, and hold the team accountable through regular feedback and structured reviews. Onboard and train new team members on eyecare‑specific coding, payer rules, and internal workflows. Revenue cycle operations Own end‑to‑end revenue cycle performance across assigned clients — charge capture, coding, claim submission, payment posting, denials, and A/R follow‑up. Oversee accurate, compliant coding for ophthalmology, optometry, and ASC facility/professional claims, including proper use of modifiers (e.g., -RT/-LT, -50, -24, -25, -79), global surgical periods, and anti‑VEGF and other drug (J‑code) billing. Manage the interplay between medical and vision benefits, including coordination of benefits and vision plan connectivity (e.g., VSP, EyeMed). Monitor clearinghouse activity, rejections, and payer edits; resolve issues and prevent recurrence. Data analysis & performance improvement Analyze KPIs — first‑pass acceptance, denial rate, days in A/R, net collection rate, clean‑claim rate — to identify trends and problem areas. Diagnose root causes of denials and underpayments and lead corrective action, whether that's front‑end edits, coding education, or payer escalation. Translate data insights into prioritized action plans and track their impact over time. Reporting & communication Prepare and present performance reports and recommendations to leadership and, where appropriate, to clients. Communicate clearly and proactively with internal teams, providers, and payers. Document and maintain standard operating procedures to ensure consistency and scalability. Compliance & change leadership Ensure billing and coding practices comply with payer requirements, CMS guidelines, and applicable regulations. Drive process change and adoption of best practices across the team, championing improvements rather than simply maintaining the status quo.

REQUIRED QUALIFICATIONS

Active professional coding certification (e.g., CPC, COC, or OCS/OCSR — Ophthalmic Coding Specialist). 5+ years of revenue cycle / medical billing experience, with direct eyecare billing experience (ophthalmology and/or optometry). Prior experience supervising or leading a billing/coding team. Working knowledge of EMR and practice management (PM) systems and the revenue cycle workflows they support. Strong understanding of eyecare‑specific billing complexity: modifiers, global periods, drug/J‑code billing, ASC facility billing, and medical vs. vision benefit coordination. Demonstrated analytical ability — comfortable working with claim, denial, and A/R data and acting on what it reveals. Excellent organizational skills and strong written and verbal communication, including the ability to present to leadership.

PREFERRED QUALIFICATIONS

Experience with ASC billing in addition to professional/office claims. Familiarity with clearinghouses (e.g., TriZetto, Waystar) and payer portals. Experience with specialty ophthalmology/optometry EHR and PM platforms. Additional credentials such as CPMA (auditing) or specialty ophthalmology coding certifications. Experience managing performance across multiple client practices or locations.

PHYSICAL REQUIREMENTS & WORK ENVIRONMENT

This role is primarily performed in a standard office or home‑office environment. Employees may be required to sit for extended periods and use a computer keyboard, mouse, and monitor for the majority of the workday, and may occasionally lift up to 15 lbs of office equipment or materials. Reasonable accommodations will be made to enable qualified individuals with disabilities to perform the essential functions of this role.

COMPENSATION & BENEFITS

The anticipated pay range for this role is $60,000 – $80,000 per year, based on experience, qualifications, location, and internal equity. Actual pay may vary from the posted range. Sightview offers a comprehensive benefits package that includes medical, dental, and vision coverage; a 401(k) plan with company match; and a selection of additional voluntary benefits. Eligibility and plan details are provided during onboarding.

BACKGROUND CHECK & DRUG-FREE WORKPLACE

Employment with Sightview is contingent upon successful completion of a pre‑employment background check. Sightview also conducts drug testing as a condition of employment. Our screening panel includes marijuana; however, a positive marijuana result alone will not disqualify an applicant from employment.

EQUAL EMPLOYMENT OPPORTUNITY

Sightview Software LLC is an Equal Opportunity Employer. We recruit, hire, train, and promote without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by applicable federal, state, or local law.

REASONABLE ACCOMMODATION

Sightview is committed to providing reasonable accommodations to qualified individuals with disabilities throughout the application and employment process. If you require an accommodation, please contact Human Resources to make your request #J-18808-Ljbffr Sightview Software