Revenue Cycle Leader - Billing, Appeals & Analytics

Compassus

Williamsburg Estates (TN)

On-site

USD 80,000 - 100,000

Full time

4 days ago
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Benefits offered by this job

Meaningful work
Career development
Innovation meets compassion
Enhanced benefits

Job summary

Compassus is seeking a Revenue Cycle Supervisor to lead our billing and collections efforts across the United States, ensuring accurate episode realignments, payor changes, and timely invoicing. The role requires strong regulatory understanding, data analysis, and cross-functional collaboration with care teams, payor relations, and finance.

The successful candidate will oversee KPI performance, drive process improvements, and provide documentation for appeals and provider claims while advocating

Qualifications

  • Bachelor's degree preferred
  • 5+ years in revenue cycle or similar
  • Experience with Commercial, Third-Party Insurance Accounts and payor rules
  • Healthcare billing knowledge and SAP/ERP familiarity helpful

Responsibilities

  • Performs episode realignments and payor changes with cross-functional collaboration to ensure timely billing.
  • Resolves accounts and gaps between current and former payor requirements.
  • Gathers and reports documentation for complaints, grievances, and appeals from members and providers.
  • Supports provider claims and pre-authorization appeals with documentation and advocacy.
  • Assists patients with denied medical treatment or services during appeals and communicates outcomes.
  • Manages patient billing complaints and ensures compliance with policies and regulations.
  • Monitors KPIs daily/weekly/monthly and escalates system issues as needed.
  • Compiles reports on metrics and trends and supports SOP/documentation development.

Skills

Numerical reasoning
Team leadership
Communication
Process improvement
Regulatory awareness

Education

Bachelor's degree

Job description

Compassus is seeking a Revenue Cycle Supervisor to lead our billing and collections efforts across the United States, ensuring accurate episode realignments, payor changes, and timely invoicing. The role requires strong regulatory understanding, data analysis, and cross-functional collaboration with care teams, payor relations, and finance.

The successful candidate will oversee KPI performance, drive process improvements, and provide documentation for appeals and provider claims while advocating

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