Description

JOB SUMMARY: 

Revenue Cycle Supervisor coordinates and supervises the day-to-day operations and activities of the assigned revenue cycle team, authorizations, and the practice’s 3rd party billing company. This position ensures maximum collection efficiency while creating a culture of accountability and service to our patients. Responsibilities include executing operation decisions made to support department and team goals, monitoring and reconciling coding, charges, collections with a high standard for detail, escalating issues to 3rd party billing and manager, implementing process improvement for effective daily management. Responsible for accuracy and compliance of claim processing, denial adjudication and collection processing as well as timely month end closing and evaluation of processes to ensure integrity and compliance of revenue cycle processes.

Revenue Cycle Essential Function/Competencies : 

Responsibilities include but are not limited to:

· Oversees, supervises, and coordinates overall revenue cycle function and activities in accordance with standards established by institutional, governmental, and other regulatory entities. 

· Provides daily oversight of department and 3rd party billing company, ensuring services are consistently delivered within the practice. 

· Hires and retains a high-performing team. 

· Leads and motivates the team for maximum employee engagement. 

· Ensures processes occur accurately and timely within assigned functions, holding the team accountable for driving results. 

· Defines and measures Key Performance Indicators (“KPIs”), initiating root cause analysis and processes to ensure KPIs are aligned with best practices. 

· Contributes to the development of the practice’s mission, goals, policies and procedures, budget, work standards in coordination with the Controller, Corporate Senior Director of Revenue Cycle and the direction of Operational Leadership. 

· Initiates and ensures adherence to personnel policies and practices. 

· Ensures the development and delivery of required staff training using a competency-based assessment program. 

· Evaluates how staff resources are allocated to support business activities and revenue cycle initiatives. 

· Presents regular report outs on the status of the practice’s Revenue Cycle department operations and performance to leadership teams. 

· Resolves problems and recommends changes to leadership to ensure optimal practice operations. 

· Collaborates with corporate and practice leadership on revenue cycle initiatives and operational processes with a fiscal impact.

· Evaluates the effectiveness and support of information technology applications to support operations and oversees enhancements/implementation of new applications, as needed, in coordination with corporate RCM leadership. 

· Oversees Quality Assurance program that supports and contributes to the key elements of operational practice and compliance, including, but not limited to, financial performance indicators, patient satisfaction, and billing/coding compliance. 

· Represents the department at meetings as requested. 

· Facilitates communication and ensures proper flow of information at a practice and corporate level. 

· Coordinates, as requested, operational committees and physician advisory committees. 

· Collects data, prepares reports, analyzes statistics, and responds to correspondence in a timely manner. 

· Supports Contract Management/Credentialing in the evaluation and negotiation of managed care contracts and operations in conjunction with practice leadership and corporate management. 

· Demonstrates professional behavior reflective of leadership best practices. 

· Maintains professional affiliations and enhances professional development to keep pace with revenue cycle industry trends. 

· Manages special projects assigned by the Corporate Leadership. 

· Manages the successful revenue cycle onboarding and integration of potential new practices/offices into the regional RCM model, including oversight of RCM diligence. 

· Identifies areas for improvements and drives change initiatives to improve overall RCM operations and financial outcomes. 

· Maintains strict confidentiality.

· Performs other position related duties as assigned.

Knowledge, Skills & Abilities

· Demonstrates understanding of business and how actions contribute to company performance. 

· Strong understanding of finance and performance management principles. 

· Excellent managerial and financial skills. 

· Professional verbal and written communication skills. 

· Ability to manage multiple tasks with excellent critical thinking skills while meeting company deadlines. 

· Familiarity with diverse business functions. 

· In-depth knowledge of corporate governance and general management best practices. 

· Well organized with the ability to maintain accuracy and confidentiality. 

· Ability to manage a large team. 

· Maintains a high level of confidentiality and ethical behavior. 

· Excellent leadership communication skills. 

· Skilled at garnering trust of physicians and partnering with them in education and coaching around RCM best practices. 

· Keeps abreast of industry trends and seeks opportunities to build knowledge and expertise via certifications, seminars, and other learning opportunities. 

· Knowledge of health care planning and management principles and practices sufficient to manage, direct, and coordinate department operations. 

· Customer-oriented with ability to remain calm in difficult situations. 

· Strong analytical and problem-solving skills. 

· Ability to work independently and manage deadlines. 

· Complies with HIPAA regulations for patient confidentiality. 

· Complies with all health and safety policies of the organization. 

· Knowledge of fiscal management techniques. 

· Knowledge of governmental regulations and compliance requirements. 

· Skill in planning, organizing, delegating, and supervising. 

· Skill in leading team members to carry out all job objectives while inspiring confidence and motivation.

· Skill in gathering and interpreting data, analyzing situations accurately, and implementing effective action. 

· Ability to assume responsibility and exercise authority over assigned work functions. 

· Ability to research and prepare reports or other correspondence as needed.

· Ability to competently use Microsoft Office, including Word, PowerPoint, Excel, Outlook, and appropriate practice management software.

· Knowledge of budget preparation.

Education and Experience

· Bachelor’s degree, with 5 years of experience in the related area; or equivalent combination of education or experience.

· 1-3 years of supervisory experience.

· Certified Professional Coder (CPC) preferred.

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