Revenue Cycle Supervisor

Job Overview
We are seeking a detail-oriented and proactive Revenue Cycle Specialist to join our dynamic healthcare team. The ideal candidate will play a crucial role in managing the revenue cycle process, ensuring accuracy and efficiency in billing, collections, and claims processing. This position requires strong analytical skills, attention to detail, and a commitment to maintaining compliance with healthcare regulations.

Job Summary

The Revenue Cycle Supervisor will be responsible for overseeing and coordinating the daily operations of the revenue cycle team. This includes managing billing, coding, collections, and payment processing to ensure the accurate and timely submission of claims and the efficient collection of payments. This position will also oversee credentialing for the current physicians in the practice and new practices or providers onboarding. The ideal candidate will have a strong understanding of healthcare revenue cycle processes, exceptional leadership skills, and a passion for improving financial performance. Candidate must have strong analytical abilities, the ability to think strategically, and sharp decision-making skills.

Duties

• Supervise and lead the revenue cycle team, providing guidance and support to ensure the team's success.
• Monitor and manage the revenue cycle workflow, including billing, coding, claims processing, and payment collections.
• Ensure compliance with all relevant regulations, policies, and procedures.
• Monitor and manage the credentialing team ensuring current providers credentialing is maintained and new providers and integrations credentialing is seamless.
• Analyze and report on key revenue cycle metrics, identifying areas for improvement and implementing corrective actions as needed.
• Collaborate with other departments to optimize processes and improve overall financial performance.
• Train and develop team members, fostering a culture of continuous learning and improvement.
• Monitor productivity
• Resolve complex billing and payment issues, acting as a point of escalation for the team.
• Stay current with industry trends, regulations, and best practices to ensure the organization remains compliant and competitive.
• Assign and monitor billing and coding teams’ assignments
• Audit billing and coding teams’ work to ensure clean claims are submitted timely for all services
• Participate and lead team meetings
• Conduct new employee interviews
• Conduct corrective action counseling to employees if warranted
• Approve direct reports’ PTO requests and coordinate coverage
• Collaborate with operations and collections to resolve operational claim errors
• Other duties as assigned based on business needs

Required Skills/Abilities

• Athena EMR experience is required
• Ability to run, manage and create reports within Athena
• Advanced knowledge of ICD10 and CPT coding principles
• Advanced knowledge of national and payer coding guidelines
• Adherence to LCDs, NCDs and NCCI edits
• Knowledge of Incident-to and PATH guidelines
• Attention to detail
• Ability to follow instructions
• Advanced knowledge of MS Office applications, Excel knowledge and pivot tables.
• Critical thinking to anticipate issues and collaborate on solutions to them.

Experience/Education

• Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) preferred
• Athena Experience required
• Five years of physician practice, billing and coding experience required
• Provider credentialing and hospital privileging experience
• Three to five years of management experience required
• Bilingual is a plus

If you are passionate about improving the revenue cycle process in healthcare and possess the necessary skills, we encourage you to apply for this exciting opportunity.

Job Type: Full-time

Pay: From $62,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Experience:

• physician billing and coding: 5 years (Required)
• Provider Credentialing: 3 years (Required)
• ICD-10: 3 years (Required)
• Management: 3 years (Required)

Work Location: In person