RCM Supervisor: Payor Reimbursement & Compliance Lead

Omega Healthcare Management Services Pvt. Ltd.; Boca Raton (FL); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health coverage

401(k) match

Professional development

Job summary

Omega Healthcare Management Services seeks a Supervisor of Payment Compliance to lead revenue cycle management and payor reimbursement strategies. You will analyze contracts, guide payor projects, and ensure accurate payments while building strong payor relationships.

The role requires 5+ years in revenue cycle, leadership experience, and proficiency in Excel and GAAP. You will mentor staff, drive process improvements, and coordinate with affiliates to align compliance and performance across the

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
• Minimum of 5 years of experience in revenue cycle management or a similar role.
• Proven leadership and management experience, with a track record of successful team development.
• Strong analytical skills with the ability to interpret data and make informed decisions.

Responsibilities

• Provide leadership and expertise in revenue cycle management and payor reimbursement strategies.
• Analyze contract proposals and collaborate on payor projects for optimal reimbursement.
• Oversee the accuracy of payments received from all payors and resolve any payment issues.
• Manage relationships with payors, ensuring a collaborative approach to claims processing accuracy.
• Schedule and lead meetings with payors to discuss payment-related matters and track issues to resolution.
• Escalate complex payment issues to Payor Innovations for further assistance and resolution.
• Stay updated with industry trends and regulations, ensuring compliance in revenue cycle management.
• Mentor and develop team members, fostering a culture of continuous improvement and expertise.
• Collaborate with system services and affiliates to align on payment compliance and revenue cycle goals.
• Ensure timely and accurate reporting on payment compliance and revenue cycle performance.

Skills

EPSi

Epic

GAAP knowledge

Creative problem solving

Analytical skills

Financial management

Education

Bachelor's degree in Healthcare Administration

Bachelor's degree in Business Administration

Tools

Excel

MS Office

Job description

Omega Healthcare Management Services seeks a Supervisor of Payment Compliance to lead revenue cycle management and payor reimbursement strategies. You will analyze contracts, guide payor projects, and ensure accurate payments while building strong payor relationships.

The role requires 5+ years in revenue cycle, leadership experience, and proficiency in Excel and GAAP. You will mentor staff, drive process improvements, and coordinate with affiliates to align compliance and performance across the