RCM Supervisor

Nrg-Mgmt-LLC; Boca Raton (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

Nrg-Mgmt-LLC in Boca Raton seeks an experienced RCM Supervisor to lead the Billing and Collections team, ensuring accurate submission of claims, denial management, and timely cash posting in a hospital or medical billing setting.

The role emphasizes data-driven analysis of A/R metrics, process improvements, staff training, and coordination with management to optimize financial performance while maintaining HIPAA compliance.

Qualifications

• Minimum 5 years of management experience within a hospital or medical billing setting.
• In-depth knowledge of Rev, CPT and ICD-10 CM coding.
• Strong ability to analyze A/R reports and performance metrics.
• Bachelor’s degree in business or related field is a plus.

Responsibilities

• Maintains knowledge of operational details of Billing and Collections.
• Analyzes A/R reports, days in receivables, and collection statistics.
• Performs weekly billing audits for timely processing.
• Oversees recruitment, training, and performance of staff.
• Maintains fee schedules, CPT/ICD-10 files, and payer contracts.
• Ensures HIPAA compliance and confidentiality.
• Collaborates with Executive Management to identify improvement opportunities.

Skills

Revenue cycle management

Accounts receivable analysis

Team leadership

HIPAA compliance

Billing and coding knowledge

Process improvement

Education

Bachelor’s degree in business or related field

Job description

RCM SUPERVISOREssential Job Responsibilities:Maintains knowledge of the operational details of all positions in the Billing and Collections department, which includes but not limited to insurance claim submission, clearinghouse and payor claim rejections, payment posting, insurance claim denial management, and patient collections.Initiates modifications of all procedural paperwork related to accounts receivable-encounter forms, billing verifications, etc.Meets with Billing and Collections staff monthly to analyze A/R reports, days in receivable, and collection statistics.Performs weekly billing audits to ensure timely and accurate processing of charge and payment posting.Conducts detailed audit of Explanation of Benefits forms from commercial and managed care payors at least biweekly; prepares or presents results to Executive Management.Meets with Collections staff to discuss difficult claims and provide solutions.Meets with Billing and Collections staff monthly to discuss key issues, overall accounts receivable performance, and opportunities for improvement.Trains and oversees performance of Billing, Collections and Verification staff; assists with recruitment, discipline, and termination.Monitors overall workload in the department and distributes work accordingly; ensures all posts are filled in case of vacation and sick days.Maintains fee schedule as well as CPT, ICD-10 CM, adjustment, payment, and payor files in the computer system.Maintains and distributes payment contracted schedules as received from contracted carriers; inputs/updates schedule into computer system.Requests payment schedules from contract carriers as needed.Prepares fee/payment comparative report quarterly.Maintains carrier contract files and the Compliance Binder.Completes all credentialing applications and reapplications as requested.Seeks and recommends ways to use technology to improve operational efficiency.Maintains patient confidentiality by following the HIPAA Compliance Plan established by the practice.Attends all meetings as requested and performs any additional duties as requested by Executive Management.Job Requirements:Minimum 5 years of management experience within a hospital or medical billing company setting.Proven knowledge of Rev, CPT and ICD-10 CM coding (medical, mental health and substance abuse preferred)Integral knowledge of the A/R process.Proven managerial success in analyzing A/R reports.Proven successful management skills.Bachelor’s degree in business or related field a plus.An Equal Opportunity Employer