Revenue Cycle Supervisor

Revenue Cycle Supervisor

The Patient Account Representative Supervisor is responsible for overseeing insurance and patient accounts receivable. This position has supervisory responsibility and/or input for recruitment, hiring, retention, performance development, performance management, teammate relations, and salary adjustments. This position manages an assigned team of Patient Account Representatives. Holds the assigned team accountable for meeting deadlines and established Company goals. Works in cooperation with all other clinic departments and the Senior Director of Revenue Cycle.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform job related tasks other than those specifically presented in this description.

Job Requirements

Essential Job Functions

1. Supervise and manage Patient Account Representative Team.
2. Management of the multiple revenue cycle processes including accounts receivables, denials management, credits, and insurance follow up.
3. Monitors staff efficiency through audit processes.
4. Approves adjustments as per company policy.
5. Works collaboratively with other departments, including operations and managed care, to improve reimbursement process and results.
6. Maximize revenue through strong collection processes.
7. Maximize and monitor cash flow with strong DSO.
8. Reviews daily, weekly and monthly key metrics to identify trends or areas of focus
9. Participates in the design, implementation, and management of process improvements to improve revenue cycle performance.
10. Establish and communicate impactful team goals; build and enact plans to achieve success.
11. Supervises, trains, mentors, motivates, orientates and evaluates performance of teammates. Recommends merit increases, promotions and disciplinary actions with appropriate approvals as required.
12. Work with others to develop, document and implement action plans, as appropriate, to address issues and ensure claims are submitted and paid in a timely manner.
13. Serves as department subject matter expert for assigned teams providing the appropriate tools, supplies, job aides and system access needed to meet production standards.
14. Maintain confidentiality of all patient, teammate and company information in accordance with HIPAA regulations and policies.

Specifications

• Maintains knowledge of and ensures compliance with state and federal laws, regulations for Medicare, Medicaid, managed care and other third party payers.
• Maintains knowledge of HIPAA and other requirements.
• Maintains timely knowledge of mandatory billing and coding requirements, to include knowledge of ICD-10
• Ability to work independently with minimal supervision as well as ability to work in a team environment.
• Demonstrated ability to successfully lead process improvement projects.
• Excellent relationship building skills and aptitude for working collaboratively with cross-functional groups.
• Self-starter with high degree of drive, initiative, and follow through.
• Ability to supervise and train employees, to include organizing, prioritizing, and scheduling work assignments.
• Ability to foster a cooperative work environment.
• Teammate development and performance management skills.
• Ability to use independent judgement and to manage and impact confidential information.
• Ability to develop, plan, and implement short-and long-range goals.
• High degree of attention to detail.
• Skilled at managing multiple projects and grasping new concepts.
• Knowledge of healthcare industry with emphasis on Revenue Cycle processes.
• Medicare, Medicaid, Commercial, and Workman's Comp Insurance Knowledge.
• Computer skills and experience with Microsoft Applications.
• Accurately complete assignments while meeting deadlines.
• Excellent organization skills.
• Excellent internal and external customer service skills.
• Must possess good oral and written communication skills and recognize importance of teamwork.
• Proficiency in Microsoft Office with Excel skills.
• Knowledge of electronic billing.
• Working knowledge of clearinghouses.
• Knowledge of CPT& ICD-10 codes.
• Complete knowledge of EOB's.
• Knowledge of medical terminology.

Experience

• High School Diploma or equivalent certification required.
• 5+ years of collection and billing process experience with all major payers required.
• A minimum of 3+ years proven supervisory or management experience in the medical receivables field is preferred.
• Prior Physical Therapy claims knowledge is preferred.
• Experience with insurance systems