Revenue Cycle Supervisor

Job Description

Job Description

J OB D ESCRIPTION

Job Title:

Revenue Cycle Supervisor

FLSA Status:

Exempt

Reports To:

RCM Manager

Pay Grade:

Grade 13

Location:

Onsite in business office

Employment Type:

Regular, Full-time

Department:

15 -Revenue Cycle Management

EEO Class:

2 - Professionals

Date:

April 2025

Job Summary

The Revenue Cycle Supervisor will be responsible for overseeing and coordinating the daily operations of the revenue cycle team. This includes managing billing, coding, collections, and payment processing to ensure the accurate and timely submission of claims and the efficient collection of payments. This position will also oversee credentialing for the current physicians in the practice and new practices or providers onboarding. The ideal candidate will have a strong understanding of healthcare revenue cycle processes, exceptional leadership skills, and a passion for improving financial performance. Candidate must have strong analytical abilities, the ability to think strategically, and sharp decision-making skills.

Duties/Responsibilities

• Supervise and lead the revenue cycle team, providing guidance and support to ensure the team's success.

• Monitor and manage the revenue cycle workflow, including billing, coding, claims processing, and payment collections.

• Ensure compliance with all relevant regulations, policies, and procedures.

• Monitor and manage the credentialing team ensuring current providers’ credentialing is maintained, and new providers and integrations credentialing is seamless.

• Analyze and report on key revenue cycle metrics, identifying areas for improvement and implementing corrective actions as needed.

• Collaborate with other departments to optimize processes and improve overall financial performance.

• Train and develop team members, fostering a culture of continuous learning and improvement.

• Monitor productivity
• Monitor the incoming phone line to ensure calls are answered and concerns addressed timely.

• Resolve complex billing and payment issues, acting as a point of escalation for the team.

• Stay current with industry trends, regulations, and best practices to ensure the organization remains compliant and competitive.

• Assign and monitor billing and coding teams’ assignments
• Audit billing and coding teams’ work to ensure clean claims are submitted timely for all services
• Participate and lead team meetings
• Conduct new employee interviews
• Conduct corrective action counseling to employees if warranted
• Approve direct report’s PTO requests and coordinate coverage
• Collaborate with operations and collections to resolve operational claim errors
• Other duties as assigned based on business needs

Required Skills/Abilities

• Athena EMR experience is preferred
• Ability to run, manage and create reports within Athena preferred
• Advanced knowledge of ICD10 and CPT coding principles
• Advanced knowledge of national and payer coding guidelines
• Adherence to LCDs, NCDs and NCCI edits
• Knowledge of Incident-to and PATH guidelines
• Attention to detail
• Ability to follow instructions
• Advanced knowledge of MS Office applications, Excel knowledge and pivot tables.
• Critical thinking to anticipate issues and collaborate on solutions to them.

Education /Experience

• Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) preferred
• Athena Experience required
• Five years of physician practice, billing and coding experience required
• Provider credentialing and hospital privileging experience
• Three to five years of management experience required
• Bilingual is a plus

Physical Requirements

• Must be able to sit, type and 10key for extended period

This job description is not intended to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.