Job Summary
We are seeking a dedicated and experienced Healthcare RCM Supervisor, Accounts Receivable, to oversee our accounts receivable department. The ideal candidate will possess strong leadership skills, a comprehensive understanding of healthcare revenue cycle management, and a proven track record of optimizing accounts receivable processes. The Supervisor will be responsible for managing a team of AR specialists, ensuring timely and accurate billing, claims processing, payment posting, and denial management.
Essential Functions and Tasks
- Lead and manage a team of accounts receivable specialists, providing guidance, support, and coaching to ensure high performance and productivity.
- Develop and implement strategies to optimize the accounts receivable process, reduce aging of accounts, and improve cash flow.
- Monitor key performance indicators (KPIs) and metrics related to accounts receivable, such as days in accounts receivable (AR days), denial rates, and cash collection ratios, and take proactive measures to address any deviations from targets.
- Oversee the billing and claims processing functions, ensuring that claims are submitted accurately and timely, and that any issues or errors are promptly addressed and resolved.
- Manage payment posting activities, reconciling payments received with billed charges, and identifying and addressing any discrepancies or variances.
- Coordinate denial management efforts, analyzing denial trends, implementing corrective actions, and appealing denials as necessary to maximize revenue recovery.
- Collaborate with other departments, such as coding, billing, and compliance, to ensure alignment and consistency in revenue cycle processes and workflows.
- Stay informed about changes and updates in healthcare regulations, payer policies, and industry trends related to accounts receivable management, and implement necessary changes to ensure compliance and optimization.
- Conduct regular team meetings and performance reviews, providing feedback, recognition, and development opportunities to team members.
- Foster a positive and collaborative work environment, promoting teamwork, accountability, and continuous improvement.
- Serve as a point of contact for escalated issues and inquiries from internal stakeholders, external partners, and patients related to accounts receivable matters.
- Keep accurate records of accounts receivable activities, performance metrics, and outcomes, and generate reports as needed to track progress and measure success.
Education and Experience Requirements
- Bachelor's degree in any related field.
- Minimum of 6 years of experience in healthcare revenue cycle management, with a focus on accounts receivable.
Knowledge, Skills, and Abilities
- Previous leadership experience, preferably in a healthcare setting.
- In-depth knowledge of medical billing processes, reimbursement methodologies, and regulatory requirements.
- Strong understanding of healthcare payer policies and claims adjudication processes.
- Excellent communication and interpersonal skills, with the ability to effectively lead and motivate a team.
- Strong analytical and problem‑solving abilities, with a focus on driving results and achieving objectives.
- Proficiency in healthcare revenue cycle management software and systems.
- Certified Professional Coder (CPC) or Certified Revenue Cycle Representative (CRCR) certification is a plus.
- Willingness to stay updated on industry trends and best practices through continuing education and professional development opportunities.
Compensation
- Base compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job‑related reasons.
- This position is also eligible for a discretionary incentive bonus in accordance with company policies.
Equal Employment Opportunity
Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. All qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity, or veteran status. Reasonable accommodations will be provided to qualified individuals with disabilities as needed.