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RCM Supervisor

PROMD PRACTICE MANAGEMENT INC

  • Pinecrest, FL
  • 30+ days ago
  • Full-time
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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

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

LocationPinecrest, FL
Job TypeFull-time

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