RCM Supervisor

Job Description

Job Description

Job Title: Revenue Cycle Management (RCM) Supervisor
Department: Revenue Cycle Management
Reports To: Manager of Revenue Cycle Services

Position Summary

The RCM Supervisor is responsible for overseeing daily revenue cycle operations for a portfolio of independent physician practices served by the company. This role supervises billing, collections, payment posting, denial management, and accounts receivable teams to ensure clients achieve optimal reimbursement, reduced A/R days, and high clean-claim rates. The RCM Supervisor serves as a key liaison between clients, payers, providers, and internal teams, ensuring service excellence and compliance with industry regulations.

Essential Duties and Responsibilities

Team Leadership

• Supervise and support a team of billing specialists, A/R representatives, payment posters, and denial management staff. 
• Monitor productivity, quality, and performance against established KPIs. 
• Conduct employee coaching, training, and performance evaluations. 
• Assist with recruiting, onboarding, and staff development initiatives. 
• Foster a culture of accountability, customer service, and continuous improvement. 

Revenue Cycle Operations

• Oversee end-to-end revenue cycle processes for assigned physician practice clients. 
• Ensure timely claim submission and resolution of claim edits and rejections. 
• Monitor insurance follow-up activities and collection efforts. 
• Review and manage aged accounts receivable and work queues. 
• Ensure accurate payment posting, adjustments, and reconciliation activities. 
• Oversee denial management and appeals processes to maximize reimbursement. 
• Escalate payer issues and identify reimbursement trends affecting client revenue. 

Client Relationship Management

• Serve as the primary operational contact for assigned client accounts. 
• Participates in regular client meetings to review financial performance and operational metrics. 
• Present reports on collections, A/R aging, denial trends, and revenue opportunities. 
• Address client concerns and develop action plans to improve performance. 
• Collaborate with providers and practice managers to resolve workflow and documentation issues impacting reimbursement. 

Performance Management & Reporting

• Monitor and analyze key performance indicators, including: 
  • Days in Accounts Receivable (A/R) 
  • Net Collection Rate 
  • Gross Collection Rate 
  • First-Pass Resolution Rate 
  • Clean Claim Rate 
  • Denial Rate 
  • Aging Over 90 and 120 Days 
  • Charge Lag 
  • Payment Posting Turnaround Time 
• Prepare and distribute operational and financial reports to management and clients. 
• Identify revenue leakage and recommend corrective actions. 

Compliance & Quality Assurance

• Ensure compliance with HIPAA, payer regulations, and billing guidelines. 
• Monitor adherence to Medicare, Medicaid, and commercial payer requirements. 
• Conduct quality audits of claims, payment posting, and collection activities. 
• Maintain documentation and process standards required for client contracts and audits. 

Process Improvement

• Identify workflow inefficiencies and implement best practices. 
• Collaborate with coding, credentialing, and implementation teams to improve revenue cycle outcomes. 
• Support system enhancements, software implementations, and automation initiatives. 
• Develop standard operating procedures (SOPs) and training materials. 

Qualifications

Education

• Associate's degree required; Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field preferred. 

Experience

• Minimum 5 years of medical billing and revenue cycle management experience. 
• Minimum 2 years of supervisory or team leadership experience. 
• Experience managing multi-specialty physician practice accounts preferred. 
• Experience working for a medical billing company, RCM vendor, or physician management organization strongly preferred. 

Knowledge & Skills

• Comprehensive knowledge of physician billing and revenue cycle operations. 
• Strong understanding of CPT, ICD-10, HCPCS, and payer reimbursement methodologies. 
• Experience with Medicare, Medicaid, commercial insurance, and managed care plans. 
• Proficiency with practice management systems and EHR platforms. 
• Advanced Excel and reporting skills. 
• Strong analytical, organizational, and client-facing communication abilities. 
• Ability to manage multiple client accounts simultaneously. 

Preferred Certifications

• Certified Revenue Cycle Representative (CRCR) 
• Certified Professional Biller (CPB) 
• Certified Professional Coder (CPC) 

Key Success Metrics

• Achieve or exceed client collection goals. 
• Maintain A/R days within target benchmarks. 
• Improve first-pass claim acceptance rates. 
• Reduce denial volumes and aged receivables. 
• Meet client service level agreements (SLAs). 
• Maintain high client satisfaction and retention rates. 
• Achieve team productivity and quality standards.