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RCM Supervisor

PROMD PRACTICE MANAGEMENT INC
  • Miami, FL
    Today

    Job Description

    Job Description

    Job Description

    Job Title: Revenue Cycle Management (RCM) Supervisor
    Department: Revenue Cycle Management
    Reports To: Manager of Revenue Cycle Services

    Position Summary

    The RCM Supervisor is responsible for overseeing daily revenue cycle operations for a portfolio of independent physician practices served by the company. This role supervises billing, collections, payment posting, denial management, and accounts receivable teams to ensure clients achieve optimal reimbursement, reduced A/R days, and high clean-claim rates. The RCM Supervisor serves as a key liaison between clients, payers, providers, and internal teams, ensuring service excellence and compliance with industry regulations.

    Essential Duties and Responsibilities

    Team Leadership

    •  Supervise and support a team of billing specialists, A/R representatives, payment posters, and denial management staff. 
    •  Monitor productivity, quality, and performance against established KPIs. 
    •  Conduct employee coaching, training, and performance evaluations. 
    •  Assist with recruiting, onboarding, and staff development initiatives. 
    •  Foster a culture of accountability, customer service, and continuous improvement. 
    Revenue Cycle Operations

    •  Oversee end-to-end revenue cycle processes for assigned physician practice clients. 
    •  Ensure timely claim submission and resolution of claim edits and rejections. 
    •  Monitor insurance follow-up activities and collection efforts. 
    •  Review and manage aged accounts receivable and work queues. 
    •  Ensure accurate payment posting, adjustments, and reconciliation activities. 
    •  Oversee denial management and appeals processes to maximize reimbursement. 
    •  Escalate payer issues and identify reimbursement trends affecting client revenue. 
    Client Relationship Management

    •  Serve as the primary operational contact for assigned client accounts. 
    •  Participates in regular client meetings to review financial performance and operational metrics. 
    •  Present reports on collections, A/R aging, denial trends, and revenue opportunities. 
    •  Address client concerns and develop action plans to improve performance. 
    •  Collaborate with providers and practice managers to resolve workflow and documentation issues impacting reimbursement. 
    Performance Management & Reporting

    •  Monitor and analyze key performance indicators, including: 
      •  Days in Accounts Receivable (A/R) 
      •  Net Collection Rate 
      •  Gross Collection Rate 
      •  First-Pass Resolution Rate 
      •  Clean Claim Rate 
      •  Denial Rate 
      •  Aging Over 90 and 120 Days 
      •  Charge Lag 
      •  Payment Posting Turnaround Time 
    •  Prepare and distribute operational and financial reports to management and clients. 
    •  Identify revenue leakage and recommend corrective actions. 
    Compliance & Quality Assurance

    •  Ensure compliance with HIPAA, payer regulations, and billing guidelines. 
    •  Monitor adherence to Medicare, Medicaid, and commercial payer requirements. 
    •  Conduct quality audits of claims, payment posting, and collection activities. 
    •  Maintain documentation and process standards required for client contracts and audits. 
    Process Improvement

    •  Identify workflow inefficiencies and implement best practices. 
    •  Collaborate with coding, credentialing, and implementation teams to improve revenue cycle outcomes. 
    •  Support system enhancements, software implementations, and automation initiatives. 
    •  Develop standard operating procedures (SOPs) and training materials. 
    Qualifications

    Education

    •  Associate's degree required; Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field preferred. 
    Experience

    •  Minimum 5 years of medical billing and revenue cycle management experience. 
    •  Minimum 2 years of supervisory or team leadership experience. 
    •  Experience managing multi-specialty physician practice accounts preferred. 
    •  Experience working for a medical billing company, RCM vendor, or physician management organization strongly preferred. 
    Knowledge & Skills

    •  Comprehensive knowledge of physician billing and revenue cycle operations. 
    •  Strong understanding of CPT, ICD-10, HCPCS, and payer reimbursement methodologies. 
    •  Experience with Medicare, Medicaid, commercial insurance, and managed care plans. 
    •  Proficiency with practice management systems and EHR platforms. 
    •  Advanced Excel and reporting skills. 
    •  Strong analytical, organizational, and client-facing communication abilities. 
    •  Ability to manage multiple client accounts simultaneously. 
    Preferred Certifications

    •  Certified Revenue Cycle Representative (CRCR) 
    •  Certified Professional Biller (CPB) 
    •  Certified Professional Coder (CPC) 
    Key Success Metrics

    •  Achieve or exceed client collection goals. 
    •  Maintain A/R days within target benchmarks. 
    •  Improve first-pass claim acceptance rates. 
    •  Reduce denial volumes and aged receivables. 
    •  Meet client service level agreements (SLAs). 
    •  Maintain high client satisfaction and retention rates. 
    •  Achieve team productivity and quality standards.

    Numbers & Facts

    LocationMiami, FL

    Skills

    • Accounts Receivableunmatched
    • Accounts Receivable Managementunmatched
    • Analysis Skillsunmatched
    • Auditingunmatched
    • Automation Systemsunmatched
    • Benchmarkingunmatched
    • Best Practicesunmatched
    • Billingunmatched
    • Business Administrationunmatched
    • Certified Professional Coder (CPC)unmatched
    • Coachingunmatched
    • Communication Skillsunmatched
    • Continuous Improvementunmatched
    • Corrective Actionunmatched
    • Credit and Collectionsunmatched
    • Customer Relationsunmatched
    • Customer Relationship Management (CRM)unmatched
    • Customer Retention/Renewalunmatched
    • Customer Satisfactionunmatched
    • Customer Support/Serviceunmatched
    • Documentationunmatched
    • Documentation Standardsunmatched
    • Exceeded Sales Goalunmatched
    • Financeunmatched
    • Financial Operationsunmatched
    • Financial Trend Analysisunmatched
    • HIPAA (Health Insurance Portability and Accountability Act)unmatched
    • Health Planunmatched
    • Healthcare Administrationunmatched
    • Healthcare Common Procedure Coding System (HCPCS)unmatched
    • ICD-10unmatched
    • Identify Issuesunmatched
    • Insuranceunmatched
    • Leadershipunmatched
    • Maintain Complianceunmatched
    • Managed Careunmatched
    • Medicaidunmatched
    • Medical Billingunmatched
    • Medical Record Systemunmatched
    • Medicareunmatched
    • Metricsunmatched
    • Onboardingunmatched
    • Operationsunmatched
    • Organizational Skillsunmatched
    • Payment Postingunmatched
    • Performance Analysisunmatched
    • Performance Managementunmatched
    • Performance Metricsunmatched
    • Performance Reviewsunmatched
    • Problem Solving Skillsunmatched
    • Process Improvementunmatched
    • Quality Metricsunmatched
    • Quality Monitoringunmatched
    • Reconciliationunmatched
    • Regulationsunmatched
    • Regulatory Complianceunmatched
    • Reimbursementunmatched
    • Reporting Skillsunmatched
    • Revenue Managementunmatched
    • Sales Managementunmatched
    • Service Level Agreement (SLA)unmatched
    • Staff Developmentunmatched
    • Staff Trainingunmatched
    • Standard Operating Procedures (SOP)unmatched
    • Standards Developmentunmatched
    • Team Lead/Managerunmatched
    • Time Managementunmatched
    • Trend Analysisunmatched
    • Workflow Analysisunmatched

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