Revenue Cycle Supervisor

Alliance PTP, LLC; Grand Rapids (MI); On-site; USD 70,000 - 100,000; Full time

Job summary

Alliance PTP, LLC is seeking a Revenue Cycle Supervisor to oversee patient billing and insurance claims for 100+ outpatient physical therapy facilities across 15 states. The role manages a team of about 25, monitors KPIs, and reports to the Manager of RCM.

Primary duties include A/R follow-up, denials management, and cash posting, with compliance across coding and billing regulations. The ideal candidate has a Bachelor’s degree (or equivalent experience), 5 years in healthcare receivables, and

Qualifications

• Bachelor’s degree in a related field preferred – equivalent experience in field accepted.
• Five (5) years of proven, progressive experience in healthcare receivables management + people management preferred.
• CPC (Certified Professional Coder) preferred.
• Effective verbal and written communication; computer literate.
• Detail oriented with strong problem-solving abilities and efficiency.
• Leads department performance improvement and team leadership.
• Audits data entry for payments using carrier EOBs and denial codes.
• Knowledge of 835 and 277 rejection/denial codes and payer adjustment guidelines.

Responsibilities

• Oversee KPI and metric improvements and drive departmental goals.
• Ensure team education, training, and documentation of current processes.
• Maintain alignment of policies with organizational goals.
• Collaborate with leadership on process improvement initiatives.
• Ensure training materials, policies, and quality audits are maintained.
• Supervise staff, participate in interviews, train, and evaluate performance.
• Ensure accurate remittance posting and regulatory compliance for coding and billing.
• Represent organization to regulators, payers, auditors and external stakeholders.
• Provide clear direction and leadership to staff and managers in revenue cycle functions.

Skills

Communication

Organizational skills

Team leadership

Problem solving

Data auditing

Regulatory compliance

CPC preferred

Payroll & training

Education

Bachelor’s degree

Equivalent field experience accepted

Job description

As a Revenue Cycle Supervisor, you supervise patient billing and insurance claims for 100+ outpatient physical therapy facilities across 15 states. Your job duties include using reports and data to supervise a team of approximately 25. This role will be responsible to monitor KPIs and productivity at a department and at an individual level. This position will report directly to the Manager of RCM.

The Revenue Cycle Supervisor areas of responsibility - include A/R follow-up, denials management, cash posting, EDI activities, Patient Services & other duties as assigned.

Essential Duties and Responsibilities:

• The Revenue Cycle Supervisor is responsible for KPI and metric improvements in assigned areas of responsibility and holds the team accountable for meeting goals and objectives.
• This role ensures team education, training and current processes are documented.
• Maintains process and procedure in alignment with organizational goals.
• Collaborates with the leadership team on process improvement initiatives.
• Ensures the quality of training materials, operating policies and procedures, team quality audits, interviewing, payroll and coaching/mentoring the team.
• Supervises staff; participates in interviews, trains; evaluates employee performance in collaboration with the manager; discusses performance problems with the managers and follows-up with staff as appropriate; delegates work assignments effectively.
• Ensures policies, and operating plans are being followed appropriately and that excellent customer service is provided along with optimum revenue capture.
• Supervises a team to ensure conformance to all regulatory guidelines pertaining to Coding and Billing as well as all levels of regulatory compliance involving relationships among entities.
• Serves on appropriate committees for forms development and standards.
• Provides clear short- and long-term direction, guidance, and leadership to staff, managers, and executive teams in revenue cycle functions and supports the dissemination of consistent, reliable information throughout the organization.
• Represents the organization by developing and maintaining external relationships with regulatory agencies, third party payers, auditors, professional associations, vendors, and counterparts in other organizations and monitors/influences external forces impacting receivables.

This list of duties is not intended to be all-inclusive and may be expanded to include other duties or responsibilities that senior management may deem necessary.

Qualifications/Skills:

• Bachelor’s degree from an accredited institution in a related field preferred - equivalent experience in field accepted.
• Five (5) years of proven, progressive experience in healthcare receivables management + people management preferred.
• CPC (Certified Professional Coder) preferred.
• Communication: Effective verbal and written skills, computer literate
• Organizational: Detail oriented, problem-solving abilities, efficient
• Team Skills: Accepts accountability for department performance improvement. Can provide team leadership and motivation.
• Demonstrate ability to accurately audit data entry for payments as indicated by carrier explanation of benefits.
• Demonstrate ability to accurately audit posting of electronic remittance advices.
• Follow appropriate internal standards, policies and procedures to provide optimal reimbursement and maximize workflow.
• Maintain a working knowledge of 835 and 277 rejection and denial reason codes (Remittance Advice Remark Codes (RARC) and Claim Adjustment Reason Codes (CARC)) along with payer specific adjustment and denial codes.
• Demonstrate knowledge of carrier specific guidelines and fee schedules.
• Provide follow thru on claims to ensure timely payment for secondary claims.