FIND_THE_RIGHTJOB.

Revenue Cycle Supervisor

Gainesville, United States

Overview

Under general supervision this position supports the vision and mission for The Cardiac and Vascular Institute. The supervisor is responsible for overseeing, improving, and ensuring the smooth operation of the revenue cycle process. This includes the development and training of staff, maintaining the integrity of work processes, and enhancing overall team performance. The supervisor will collaborate with all revenue-related areas to streamline processes, identify and implement efficiencies, and promote a lean operational workflow. Additionally, the supervisor will manage and coordinate third-party billing and payment application activities within the business office.

Key Responsibilities

Provide daily management and support to the team: Ensure the team is working efficiently and accurately completing assigned tasks, offering guidance, resources, and troubleshooting as needed to maintain productivity and quality standards.
Monitor and analyze key performance metrics: Track, report, and analyze critical performance indicators to assess progress, identify trends, and support decision-making for continuous improvement.
Regularly conduct audits of team members and provide individual feedback weekly; identify needs for and provide training to address any competency and quality gaps in performance.
Troubleshoot problematic accounts, identify trends, and root causes, and lead internal and interdepartmental initiatives to resolve issues.
Oversee and manage payer quality assurance audits: Ensure that all necessary documentation and processes meet the required standards for audits conducted by payers, addressing any findings and implementing corrective actions as needed
Assist with employee performance reviews: Support the preparation, coordination, and execution of performance evaluations, providing input on employee progress and areas for development.
Stay updated on insurance regulations, coding changes, and billing guidelines.
Maintain confidentiality of patient information and adhere to HIPAA regulations.
Other duties and responsibilities as assigned.

Knowledge, Skills and Abilities

Extensive knowledge of ICD-10, CPT and HCPCS coding and charging practices.
Strong attention to detail and accuracy.
Proficiency with computer systems and software, including Microsoft Office and hospital systems.
Knowledge of HIPAA regulations and compliance.
Ability to multi-task, prioritize, and manage time effectively.
Willingness to learn and adapt to new technologies and processes.
Effective verbal and written communication skills are necessary in dealing with a variety of healthcare and finance professionals including senior management staff.
Ability to work effectively in a matrix work environment and to manage multiple deadline-driven tasks and projects.

Qualifications

High School Diploma or equivalent (GED).
Require a minimum of five years of health care and supervisory experience.
Proven experience in leading teams and managing all aspects of the revenue cycle in a healthcare setting.
Strong hands-on knowledge of all facets of RCM including claims submission, payment posting, and denial management, with the ability to motivate and develop staff.
Strong communication skills, both written and verbal, with the ability to present complex information clearly.

Preferred Qualifications