Revenue Cycle Supervisor
FLSA Classification: Non-Exempt
Department: Revenue Cycle
Reports To: Director of Revenue Cycle
Direct Reports: N/A
POSITION SUMMARY:
The Revenue Cycle Supervisor supports a high performing Revenue Cycle Department. The individual filling this position will be an ambitious hands-on problem solver and effective communicator that will support the achievements of the team. This individual will be responsible for the supervision of all billing staff and assisting in the resolution of complex issues impacting claim reimbursement.
RESPONSIBILITIES:
- Assists the Director of Revenue Cycle with the oversight of complex Billing Dept processes such as demand billing, coordination of benefits billing, EMR and payer/portal billing configurations, communications with care partners.
- Manages day-to-day planning, assigning, and direction of work for the Revenue Cycle Analysts and Associates.
- Create, monitor, and report on daily, weekly, and monthly department and individual Key Performance Indicators (KPI’s). Act when needed in order to meet department and individual KPI goals.
- Creates and maintains necessary A/R reporting to track status of accounts and provide data for Management.
- Approves and tracks requests for updates to billing system with current payer data, charge codes, and rates.
- Works in conjunction with Director of Revenue Cycle and other Finance staff to develop monthly billing cycle calendars.
- Reviews and implements new procedures/processes as recommended by Director of Revenue Cycle.
- Reviews and resolves problem insurances and accounts assigned by the Director of Revenue Cycle.
- Follows all aging requirements and collection procedures as put forth by leadership.
- Coordinates billing/collection workflows and backup in the Revenue Cycle Department.
- Makes recommendations to Director of Revenue Cycle for patient account adjustments and write offs.
- Assists the Director of Revenue Cycle with month end close procedures.
- Maintains working familiarity with all payers and insurance provider representatives.
- Oversee patient outreach and account reconciliation for Self-pay accounts
- Partners with cross functional departments to quickly resolve billing or collection issues
- Collaborates with Director of Revenue Cycle to monitor and evaluate employee performance; holds employees accountable for the attainment of defined goals and objectives; executes effective performance redirection when needed; develops employees through coaching, mentoring and formal/on the job training and development opportunities.
- Ensures clear communication of department and individual goals and expectations through regular team meetings and employee 1:1’s.
- Responsible for maintaining/updating Revenue Cycle Dept policy and procedure manuals.
- Research denials and partial payments to determine if further action is needed.
- Research payers’ payment policies when necessary.
- Assists Director of Revenue Cycle with the following:
o Interviewing and hiring process of new employees.
o Training /cross training staff in day-to day Billing Dept processes.
o Provide staff development training and mentorship.
- Reviews and approves or denies requests for time off and maintains record of Revenue Cycle staff absences.
- Adheres to all home health care regulations including CMS and multiple state Medicaid programs.
- Performs all duties in compliance with all applicable federal, state, and local laws and regulations, as well as with the company’s policies and procedures at all times.
- Responsible for maintaining HIPAA and the HITECH Act regulation at all times.
- Adheres to agency’s policies and procedures.
- Performs other duties and projects as assigned.
COMPETENCIES:
- Exceptional written and oral communication skills - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; writes clearly and informatively; presents numerical data effectively; able to read and interpret written information.
- Change Management - Develops workable implementation plans; Communicates changes effectively; Builds commitment and overcomes resistance; Prepares and supports those affected by change; Monitors transition and evaluates results.
- Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs workflows and procedures.
- Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
REQUIRED QUALIFICATIONS:
- Bachelor’s degree or equivalent in related work experience
- 5+ years of healthcare revenue (billing/accounts receivable) experience preferred
- Intermediate level in Microsoft Office – Excel, Word, Outlook
- Ability to perform diversified clerical functions and basic accounting procedures
PREFERRED EDUCATION AND EXPERIENCE:
- Bachelor’s degree in accounting or finance or equivalent in related work experience
- Previous experiencing using Innovie’s EMR
- Previous experience with the MassHealth Provider Online Service Center (POSC)
PHYSICAL DEMANDS AND OFFICE ENVIRONMENT:
- Occasionally required to stand.
- Occasionally required to walk.
- Frequently required to sit.
- Continually required to use hands and fingers.
- Occasionally required climb, balance, bend, stoop, kneel or crawl.
- Occasionally required to lift/push light weights (less than 25 pounds).
TRAVEL REQUIREMENTS:
- Ability to travel locally by car to office(s), events, meetings, etc., as needed (approximately 5% or less of the time).
The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Innovive Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
