Revenue Cycle Supervisor
$60.63k - $90.95kOptum
Explore opportunities with Home Office, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As a Revenue Cycle Management Supervisor, you lead billing and collections operations by ensuring timely and accurate claim submissions, payment reconciliations, and account follow-ups. You oversee staff performance, workflow efficiency, and compliance with company and regulatory policies. You act as a resource for problem-solving, training, and system updates, while maintaining strong communication with pay sources and software vendors. You also represent the department in internal and external forums, contributing to audits, reporting, and continuous improvement initiatives.
Primary Responsibilities:
- Accountable and responsible for the timely and accurate preparation and submission of all claims to appropriate pay sources on a regular basis
- Ensures compliance with company, departmental, and regulatory policies and procedures. Responsible for coordinating disciplinary actions for broken polices, on an on-going basis
- Accountable and responsible for the timely and successful follow-up of all outstanding account balances on regular basis
- Develops and manages an established closing schedule and other guidelines/policies and procedures to facilitate billing timeliness on regular basis
- Manages the utilization of accounts receivable reports to monitor account balances and establish priorities for collection activities on a regular basis
- Maintains appropriate billing records to meet legal and regulatory requirements
- Supervises assigned billing and collections personnel; ensures appropriate staffing levels; completes scheduled performance evaluations
- Assists in the development and/or revision of departmental job descriptions, duties, and operating procedures
- Oversees the day-to-day workflow of the Department and sets priorities for staff
- Assists in the development and implementation of procedures to facilitate efficient workflow/paperflow in the Department
- Acts as a resource to assigned staff for problem solving difficult accounts, information system issues, and specific training needs
- Facilitates training programs. Ensures that problem-solving occurs at the lowest level possible with positive outcomes.
- Ensures timely tracking of payer changes and keeps appropriate staff notified of changes and/or updates on a regular basis
- Manages the posting and reconciliation of third party payments received
- Ensures daily and monthly reconciliation of cash posted to cash deposited; resolves any outstanding reconciling items
- Prepares any statistical reports as requested by supervisors or upper management on an as needed basis; submits timely
- Maintains a working knowledge of all billing policies, rules and regulations, updates appropriate staff of changes in the insurance industry
- Acts as a liaison with assigned/select pay sources
- Maintains a working knowledge of all Revenue Cycle Management computer systems; acts as a liaison with the software vendor(s) and communicates updates/revisions to appropriate staff
- Trains appropriate staff on new software/hardware features; reviews staff understanding/working knowledge of changes
- Represents Revenue Cycle Management and actively participates on various external and internal forums, teams, and audits as needed
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Associate degree or equivalent certification in a business-related field
- 3+ years of experience in medical revenue cycle management
- Experience managing computerized billing systems
- Experience using PC-based software programs (e.g., Microsoft Word, Excel)
- Strong organizational and analytical skills
- Excellent verbal and written communication skills
- Positive customer service orientation
- Ability to work effectively in collaborative, team-based environments
- Knowledge of third-party payor rules and regulations
- Understanding of Generally Accepted Accounting Principles (GAAP)
Preferred Qualifications:
- Bachelor's degree in business or a related field
- 2+ years of supervisory experience
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,632 to $90,948 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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