Supervisor, RCM

Omega Healthcare Management Services; Boca Raton, Northern (FL, KY); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Omega Healthcare Management Services is seeking a Supervisor RCM in Boca Raton to oversee denials processing, claims follow-up, and customer service with emphasis on quality and compliance. You will manage day-to-day activities, mentor staff, and ensure attainment of service levels under the direction of the Operations Manager.

The role requires 4.5+ years in medical billing, 2 years of people management, and 5+ years in EPIC billing, with strong knowledge of HIPAA and related standards.

Qualifications

• Minimum 4.5 years’ experience in Medical Billing and 2 years of People Management experience.
• 5+ years of EPIC Billing experience, working in Epic.

Responsibilities

• Manage day-to-day denials processing, claims follow-up and customer service.
• Monitor and address performance, behavior and attendance using prescribed PM techniques.
• Conduct performance appraisals with Ops Manager/Director and provide feedback on reports.
• Escalate performance issues and implement CAPA and PIP as needed.
• Act as single point of contact for team members and ensure training needs are met.
• Ensure adherence to HIPAA, compliance and client-specific policies.

Skills

Accounts Receivable

Ins follow up

Management

NexGen

Project Management

Tools

Microsoft Office

ADP

Oracle

Job description

Summary/Objective

Under limited supervision the Supervisor RCM is accountable to manage day to day activities of denials processing, claims follow-up, customer service and ensuring that project related quality processes are followed by team members.

Essential Job Functions

Monitor, identify and resolve performance/ behavior/ attendance issues using prescribed performance management techniques.

Monitor and take action on personnel and disciplinary issues.

Conduct performance appraisals along with Ops Manager/Director.

Review reports on a daily basis and provide constructive feedback.

Provide subject matter expertise to Quality Control Analysts in the team.

Ensure the training needs of subordinates are met.

Adjust to the needs of meeting service level agreements under supervision of Operations Manager.

Successfully complete all client related training and keep record of the same.

Resolve escalated customer issues and CAPA to be taken.

Hold team briefings on a daily/weekly basis with the team.

Communicate all process and client changes to direct reports within specific timelines and keep record for such updates.

Act as single point contact for the assigned team members for all their job-related needs and create a harmonious work environment.

Escalate performance related issues with respect to assigned team members to Operations managers on a timely manner (PIP)

Performs any other duty assigned by respective Operations Manager

Act as authorized person for sanctioning team members leave through ERP.

Responsible for day-to-day functional supervision of work group, including work assignment and attendance monitoring; providing input into selecting, training, developing, and completing performance appraisal of work group(s) in accordance with the organization’s policies and applicable compliance requirements.

Employee separations to be handled in-line with company policies.

Strict adherence to the company policies and procedures.

Performs other duties as directed.

Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.

Key Success Indicators/Attributes

Ability to prioritize and multi-task in a fast-paced, changing environment.

Demonstrate ability to work in all work types and specialties.

Demonstrate ability to self-motivate, set goals, and meet deadlines.

Demonstrate leadership, mentoring, and interpersonal skills.

Demonstrate excellent presentation, verbal, and written communication skills.

Ability to develop and maintain relationships with key business partners by building personal credibility and trust.

Maintain courteous and professional working relationships with employees at all levels of the organization.

Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position.

Demonstrate excellent analytical, critical thinking and problem-solving skills.

Manage the Individual KRA’s as per the provided metrics.

Understand client requirements and specifications of the project and ensure targeted collections are met on a daily / monthly basis.

Meet the productivity targets of clients within the stipulated time. Ensure timely follow-up on pending claims and prepare and maintain individual status reports.

Skill in operating a personal computer and utilizing a variety of software applications is essential.

Knowledge of coding convention and rules established by the AHIMA, American Medical Association (AMA), the American Hospital Association (AHA) and the Center for Medicare and Medicaid (CMS), for assignment of diagnostic and surgical procedural codes is an added advantage.

Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation is an added advantage.

Supervisory Responsibility

Yes

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus.

Position Type/Expected Hours of Work

This is a full-time position. Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m. This position occasionally requires long hours and weekend work.

Travel

Minimal travel required; up to 5%

Required Education and Experience

Minimum 4.5 years’ experience in Medical Billing and experience with standard office software products and 2 years of People Management experience.

5+ years of EPIC Billing experience, working in Epic.

Preferred Education and Experience

N/A

Additional Eligibility Qualifications

N/A

Security Access Requirements

In addition to the specific security access required by the employee’s client engagement, the employee will have access to the Omega systems set forth in the “Standard Manager” profile.

Microsoft Office

ADP

Oracle

Standard Manager

Standard

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Employee may perform other duties as assigned.

Required Skills

• Accounts Receivable
• Ins follow up
• Management
• NexGen
• Project Management

About Us

Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com

We offer a comprehensive benefits package that may include health, dental, and vision coverage, voluntary insurance options, a 401(k) plan with employer match, professional development opportunities, paid time off, and holiday pay. Eligible employees may also have the opportunity to participate in bonus programs, commissions, or other variable incentive plans. Benefits and incentive eligibility may vary based on position, location, and tenure.

AAP/EEO Statement

Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcarealso prohibits harassment of applicants or employees based on any of these protected categories.

Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at [e-mail] .