RCM SUPERVISOR - Ambulatory Surgery Centers

Company Description: SYNERGEN Health delivers comprehensive, specialty-specific solutions in revenue cycle management for healthcare organizations. The company leverages robotic process automation (RPA), AI technology, and real-time analytics to increase accuracy and reduce manual work across the revenue cycle. Its platforms provide clear visibility into financial performance, helping clients optimize operations and accelerate cash flow. SYNERGEN Health focuses on innovation and efficiency, offering tools and expertise that put the future of RCM within reach for its partners. Position Summary The RCM Supervisor – Ambulatory Surgery Centers is responsible for supervising day-to-day revenue cycle operations for a portfolio of ASC clients within an outsourced medical billing organization. This position oversees billing, coding, payment posting, denial management, and accounts receivable staff while ensuring compliance with client-specific workflows, performance standards, and service-level agreements. The RCM Supervisor monitors team performance, assigns workloads, resolves billing and reimbursement issues, and supports improvements in collections, accounts receivable, denial rates, billing accuracy, and turnaround times. The supervisor also works closely with ASC clients and internal leadership to address operational concerns, communicate performance results, and implement corrective actions. Candidates located in the Dallas–Fort Worth area are preferred. This is a hybrid position requiring availability for in-person meetings, client visits, training, and other business activities in the DFW area as needed. Key Responsibilities ASC Revenue Cycle Operations Supervise daily revenue cycle activities for assigned ASC clients, including: Eligibility and benefits verification Operative report review Facility coding and charge entry Claim submission and rejection management Payment and adjustment posting Denial management and appeals Accounts receivable follow-up Underpayment identification Credit balance resolution and refunds Ensure surgical cases are coded, billed, and followed up within established turnaround times and client-specific SLAs. Oversee the accurate capture of facility charges, implants, drugs, devices, supplies, and ancillary services. Ensure claims include the appropriate CPT/HCPCS codes, ICD-10-CM codes, revenue codes, modifiers, units, and supporting documentation. Monitor claims through practice management systems, clearinghouses, payer portals, and internal workflow platforms. Coordinate with clients and internal departments to resolve missing operative reports, documentation deficiencies, authorization issues, demographic errors, and other billing barriers. Maintain a working knowledge of each assigned client’s systems, payer contracts, fee schedules, workflows, and billing requirements. Escalate complex operational, reimbursement, or compliance matters to the Operations Manager or Practice Administrator. Accounts Receivable and Denial Management Monitor accounts receivable aging, days in AR, denials, rejections, underpayments, unapplied payments, credit balances, and collection performance. Assign and prioritize follow-up activities based on claim age, payer, balance, denial reason, timely filing requirements, and collectability. Conduct regular reviews of high-dollar, aged, and complex accounts. Analyze denial and rejection trends and recommend corrective and preventive actions. Ensure appeals are accurate, properly supported, and submitted within payer deadlines. Identify payer underpayments and reimbursement variances based on expected or contracted reimbursement. Support the development and execution of recovery plans for AR backlogs and areas performing below established targets. Monitor timely filing and appeal deadlines to minimize avoidable write-offs. Client Support and Communication Serve as an operational point of contact for assigned ASC clients. Participate in weekly, biweekly, or monthly client performance meetings. Present updates on revenue cycle results, operational challenges, risks, and corrective actions. Document meeting decisions, action items, responsible owners, and due dates. Respond to client questions and concerns promptly and professionally. Escalate significant operational, financial, compliance, or client relationship risks to leadership. Build strong client relationships through responsiveness, transparency, accountability, and consistent execution. Support new-client onboarding, transition planning, go‑live activities, and post‑implementation stabilization. Performance Monitoring and Reporting Monitor key ASC revenue cycle performance indicators, including: Coding and charge‑entry turnaround times Coding accuracy Claim rejection and denial rates Payment‑posting turnaround time Gross and net collections Days in accounts receivable AR aging by payer Underpayments and payment variances Appeal success rate Authorization‑related denials Credit balances and refunds Team productivity and quality Client SLA compliance Prepare weekly and monthly operational and financial reports for leadership and clients. Analyze performance trends and explain significant variances. Assist in developing and monitoring corrective action plans when performance falls below expectations. Validate the accuracy and completeness of client‑facing reports. Maintain action‑item trackers and ensure assigned tasks are completed by established deadlines. Team Supervision Provide day‑to‑day supervision to billing, coding, payment posting, denial management, and accounts receivable staff. Assign workloads based on client priorities, volume, complexity, aging, and service requirements. Monitor individual and team productivity, quality, accuracy, attendance, and turnaround times. Provide regular coaching, training, guidance, and performance feedback. Ensure staff understand client‑specific workflows, payer requirements, ASC billing standards, and escalation procedures. Identify training, staffing, capacity, and performance gaps and communicate them to management. Coordinate staff schedules and coverage to maintain operational continuity. Promote accountability, collaboration, service excellence, and continuous improvement. Cross‑train team members across essential revenue cycle functions. Support employee performance evaluations and disciplinary processes in coordination with management and Human Resources. Quality, Compliance, and Process Improvement Ensure billing and coding activities comply with HIPAA, federal and state regulations, Medicare requirements, payer guidelines, client contracts, and company policies. Perform regular account, claim, coding, and workflow audits. Develop and maintain client‑specific SOPs, process maps, training materials, and escalation protocols. Conduct root‑cause analyses for recurring denials, delayed billing, missed charges, reimbursement variances, and SLA failures. Recommend and support improvements that increase efficiency, strengthen compliance, reduce errors, and improve cash flow. Stay current on Medicare’s ASC Covered Procedures List, payer policies, coding guidelines, and reimbursement methodologies. Communicate relevant billing, coding, and payer updates to team members. Education and Experience Associate degree in healthcare administration, business administration, health information management, or a related field preferred. Relevant healthcare revenue cycle experience may be considered in lieu of a degree. Minimum of five years of medical billing or healthcare revenue cycle experience. Minimum of two years of direct ASC facility billing, coding, collections, or revenue cycle experience. At least one year of team‑lead, supervisory, or management experience preferred. Experience supporting multiple ASC clients within an outsourced medical billing organization strongly preferred. Medical coding certification, such as CPC, CCS, CASCC, or an equivalent credential, preferred. Experience in orthopedic, spine, pain management, gastroenterology, ophthalmology, or multispecialty ASC billing preferred. Knowledge, Skills, and Abilities Strong knowledge of ASC facility billing and reimbursement. Understanding of CPT, HCPCS, ICD‑10‑CM, revenue codes, modifiers, and payer requirements. Knowledge of Medicare and commercial payer ASC billing guidelines. Strong team supervision, coaching, and workload‑management skills. Strong client‑service and communication skills. Ability to manage multiple clients, priorities, deadlines, and SLAs. Strong analytical, organizational, and problem‑solving capabilities. Knowledge of payer contracts, denials, appeals, underpayments, and AR management. Proficiency with practice management systems, clearinghouses, payer portals, reporting platforms, and Microsoft Office. Strong attention to detail and commitment to accuracy, compliance, and client service. Work Arrangement and Location This position follows a hybrid work arrangement. Candidates residing in the Dallas–Fort Worth metropolitan area are preferred. The employee must be available for scheduled in‑office meetings, client visits, training sessions, and other business activities in the DFW area as needed. Remote work may be permitted based on business needs, performance expectations, and company policy. Limited travel to client locations may be required. The employee must maintain a professional, secure, and HIPAA‑compliant remote workspace. #J-18808-Ljbffr SYNERGEN Health LLC