Revenue Cycle Supervisor

Panther Physical Therapy; United States; Remote; USD 70,000 - 95,000; Full time

Job summary

Alliance PTP Partners in Grand Rapids, MI is seeking a Revenue Cycle Supervisor to oversee patient billing and insurance claims for 100+ outpatient physical therapy facilities across 15 states. You will lead a team of approximately 25 and monitor KPIs and productivity, reporting to the Manager of RCM.

This role focuses on A/R follow-up, denials management, cash posting, and EDI activities. The Essential Duties include ensuring KPI improvements, documenting processes, collaborating on

Qualifications

• Bachelor’s degree in related field preferred or equivalent experience.
• Five years in healthcare receivables management with people leadership.
• CPC certification preferred.
• Excellent verbal and written communication skills.
• Detail oriented with strong problem solving and organizational ability.
• Ability to lead and motivate a team toward performance goals.
• Proficient auditing data entry and remittance postings.
• Knowledge of 835/277 denial codes and payer guidelines.

Responsibilities

• Oversee KPI and metric improvements for RCM areas and drive team performance.
• Ensure team training is current and processes are well documented.
• Maintain alignment of policies with organizational goals.
• Collaborate with leadership on process improvements.
• Ensure quality of training materials and audits, and coaching of staff.
• Supervise staff including interviews, training and performance reviews.
• Oversee compliance with coding, billing and regulatory standards.
• Engage external relationships with payers, regulators, and vendors.

Skills

CPC

Healthcare receivables

People management

Communication

Organizational skills

Team leadership

Data auditing

Billing & coding knowledge

Education

Bachelor’s degree

Tools

EDI systems (835, 277)

Job description

Current Open Positions with Alliance PTP Partners

Position: Revenue Cycle Supervisor (Remote - US Only)

Location: Grand Rapids, MI

Job Id:2927

# of Openings:1

Summary:

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.