revenue cycle supervisor

Columbia University

<div>Job Type: Officer of Administration 
Regular/Temporary: Regular 
Hours Per Week: 35 
Standard Work Schedule: Monday-Friday 
Building: Parker Plaza, NJ Salary Range: 80,000- 90,000

The compensation range listed in this job posting reflects the market rate for the New York City Metropolitan area. Actual compensation may vary depending on the geographic location of the candidate, in accordance with local labor market conditions.

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.

Position Summary

The Coding and Complex Supervisor is a key role within the centralized Clinical Revenue Office (CRO), responsible for the day-to-day supervision of the coding and coding denial teams. This position ensures accurate and compliant coding practices to optimize revenue capture and oversees the follow-up and resolution of coding-related denials and appeals. By managing Coders, Coding Denial Specialists, and SC A/R Specialists, the Coding Supervisor plays a critical role in managing denial follow-up, appeals submissions, and escalations. Through effective leadership, compliance monitoring, and process improvements, this role supports the overall efficiency and goals of the revenue cycle.

Responsibilities

Operational Management:
<ul>
<li>Oversee the review and resolution of pre-billing coding edits, ensuring accurate coding selection based on available documentation and payer guidelines compliance.</li>
<li>Supervise Coding Denial Specialists and SC A/R Specialists, coordinating denial follow-up, appeals submissions, and escalations to secure appropriate reimbursement.</li>
<li>Manage work queues, prioritize tasks, and coordinate resources to ensure timely processing of coding edits, denials, and appeals.</li>
<li>Provide expert guidance on complex coding scenarios, including preparing appeals, Letters of Medical Necessity, and additional documentation to support correct reimbursement.</li>
<li>Collaborate with the Assistant Director to develop, refine, and implement policies and procedures that enhance accuracy, compliance, and operational efficiency.</li>
</ul>
Reporting and Analysis:
<ul>
<li>Track and report on coding performance metrics, including productivity, accuracy, and denial rates, providing insights and recommendations for process improvement.</li>
<li>Analyze coding-related data to identify trends, opportunities for improvement, and areas of concern, using findings to drive enhancements in coding practices.</li>
<li>Prepare detailed reports for management on coding activities, summarizing key performance indicators, issues, and solution recommendations.</li>
</ul>
People:
<ul>
<li>Supervise a team of Coders and A/R Specialists, providing guidance, support, and oversight to ensure accurate and timely resolution of coding-related edits, denials, and appeals.</li>
<li>Set performance standards and goals for the coding team, regularly monitoring progress toward productivity and quality benchmarks.</li>
<li>Conduct performance evaluations, provide feedback, and implement development plans to support professional growth and enhance team performance.</li>
<li>Lead team meetings to discuss updates, address challenges, share best practices, and ensure alignment with departmental goals.</li>
<li>Work closely with clinical departments, billing staff, and other revenue cycle teams to resolve coding-related issues and enhance the efficiency of the revenue cycle process.</li>
<li>Act as the primary point of contact for coding-related inquiries, providing guidance to staff, clinicians, and administrative teams on coding issues and best practices.</li>
<li>Represent the coding team in cross-functional meetings, task forces, and projects, advocating for improvements in coding accuracy and revenue optimization.</li>
</ul>
Compliance:
<ul>
<li>Ensure that all coding activities comply with payer requirements, institutional policies, and regulatory standards, including HIPAA and CMS guidelines.</li>
<li>Conduct recurring quality audits of coding practices to identify errors, provide feedback, and implement corrective actions to improve accuracy and minimize denials.</li>
<li>Support coding compliance initiatives by staying current with updates in CPT, ICD-10, and HCPCS coding, and ensuring that staff are well-informed of any changes.</li>
<li>Maintain thorough knowledge of billing rules, regulations, and coding standards, ensuring that coding practices are aligned with best practices and industry standards.</li>
</ul>
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Please note: While this position is primarily remote, candidates must live within a commutable distance in a Columbia University-approved telework state. Occasional on-site presence is required for meetings or other business events. Any commuting costs associated with travel to the office will not be reimbursed.

Minimum Qualifications
<ul>
<li>Bachelor&rsquo;s degree or equivalent in education and experience.</li>
<li>Minimum of 3 years of relevant experience in a healthcare facility or medical billing office environment.</li>
<li>An equivalent combination of education, training, and experience may be considered.</li>
<li>Certified Professional Coder (CPC) required</li>
<li>Advanced knowledge of CPT, ICD-10, and HCPCS coding, with comprehensive familiarity with payer guidelines, including Medicare and Medicaid.</li>
<li>Proven ability to lead and develop a high-performing team, with strong skills in performance management and staff development.</li>
<li>Excellent analytical, organizational, and communication skills, with the ability to interact effectively with clinical and administrative staff.</li>
<li>Must successfully pass systems training requirements.</li>
</ul>
Preferred Qualifications
<ul>
<li> Additional coding certifications such as Certified Coding Specialist (CCS) preferred.</li>
<li>At least 1 year of direct supervisory experience.</li>
<li>Experience in a central billing office or revenue cycle management environment.</li>
<li>Familiarity with data analysis tools and experience generating reports for management.</li>
</ul>
Competency Profile
Patient Facing Competencies
Minimum Proficiency Level
Accountability &amp; Self-Management
Level 3 - Intermediate
Adaptability to Change &amp; Learning Agility
Level 2 - Basic
Communication
Level 2 - Basic
Customer Service &amp; Patient Centered
Level 3 - Intermediate
Emotional Intelligence
Level 2 - Basic
Problem Solving &amp; Decision Making
Level 3 - Intermediate
Productivity &amp; Time Management
Level 3 - Intermediate
Teamwork &amp; Collaboration
Level 2 - Basic
Quality, Patient &amp; Workplace Safety
Level 3 - Intermediate
Leadership Competencies
Minimum Proficiency Level
Performance Management
Level 2 - Basic
Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents. 

<div>
<div>Update: Leave Status and Return‑to‑Work Expectation</div></div></div>

Revenue Cycle Supervisor, Coding and Complex Denials

Revco Solutions

<div>Description:

Our Company: Revco Solutions Inc provides best-in-class Revenue Cycle management to Hospital and Physician Service clients.
Position Summary:
The Insurance Supervisor is responsible for assisting the Manager and Director in overseeing the day-to-day operations of the Insurance Operations department. This role focuses on managing billing and collections processes, developing team members, maintaining client relationships, and ensuring quality, compliance, and productivity standards are consistently achieved. The Supervisor also plays a critical role in client communications, project management, payer issue resolution, staff coaching, and process improvement initiatives.
Key Responsibilities:<ul><li>
Oversee daily operations of billing and insurance follow-up teams.</li><li>
Execute billing and follow-up plans, monitor department reports, and track user productivity.</li><li>
Manage client communications, including project updates, billing system support, and service implementations.</li><li>
Lead internal and external meetings to discuss project deliverables and updates with key stakeholders.</li><li>
Resolve account balances and assist with complex billing or denial issues.</li><li>
Monitor and resolve inappropriate denials, underpayments, and overpayments.</li><li>
Stay current with payer guidelines, regulations, and industry best practices through webinars, seminars, and research.</li><li>
Identify billing system issues and assist in system updates and process improvement initiatives.</li><li>
Respond to audits (e.g., RAC, MIC, ADR) and support the appeals process.</li><li>
Create and maintain tracking tools for interdepartmental communication and reporting.</li><li>
Provide coaching and support to staff members to meet quality and productivity standards.</li><li>
Manage staffing needs, assist with hiring decisions, and ensure time and attendance compliance.</li><li>
Maintain effective working relationships with clients, internal teams, and external stakeholders.</li><li>
Ensure HIPAA compliance and maintain patient confidentiality at all times.</li><li>
Act as a liaison between Management, Supervisors, and Staff to promote department success.</li><li>
Lead initiatives aimed at reducing payer rejections and denial rates.</li><li>
Support revenue cycle projects and provide feedback on operational effectiveness.</li></ul>
What We Offer:<ul><li>
Insurance/401k match</li><li>
PTO/Paid holidays</li><li>
Referral bonuses</li></ul>
Requirements:
<ul><li>High School Diploma required; Associate&rsquo;s or Bachelor&rsquo;s degree preferred.</li><li>
5-7 years of experience in healthcare revenue cycle operations.</li><li>
3 years of direct management or supervisory experience.</li><li>
Certification preferred (e.g., AAHAM, HFMA, NAHAM); Project Management certifications a plus.</li><li>
Strong knowledge of patient accounting systems, EHRs, billing forms (UB04, HCFA 1500), and CPT/HCPCS/ICD-10 coding.</li><li>
Demonstrated experience in appeals, denial management, and payer regulations.</li><li>
Advanced knowledge of billing processes and insurance collection standards.</li><li>
Excellent communication skills with the ability to present updates to senior leadership and clients.</li><li>
Proficient in Microsoft Office and familiar with payer portals and billing platforms.</li><li>
Strong analytical, problem-solving, and conflict resolution skills.</li><li>
Ability to lead teams, manage multiple projects, and meet deadlines in a fast-paced environment.</li></ul></div>

Insurance Supervisor

La Rabida Children's Hospital

<div><div><div><h2 class="jobSectionHeader">Company Description</h2></div><div>
La Rabida Children&rsquo;s Hospital provides specialized, family-centered health care to children with medically complex conditions, disabilities, and chronic illness. Through expertise, compassion, and advocacy we help children and their families reach their fullest potential, regardless of their ability to pay.
Our not-for-profit hospital, licensed for 49 beds, helps transition children from neonatal or pediatric intensive care to home, by providing medical, rehabilitative and developmental care, and by training families to continue treatments and manage the necessary equipment in the home. La Rabida also provides extensive rehabilitation for those recovering from wounds or burns and treatment for exacerbations of chronic conditions.
The hospital&rsquo;s enhanced pediatric patient-centered medical home provides primary care to children with complex medical conditions and their siblings. Children with medical homes elsewhere come to La Rabida for specialty services. La Rabida offers a wide range of specialty services provided to children with sickle cell disease, diabetes, and many others. Children are supported in their emotional and developmental growth, particularly in cases where such growth has been interrupted by accident or disease.
Finally, La Rabida provides forensic and treatment services for children exposed to abuse and neglect, comprehensive assessments for wards of the state, early intervention for children between 0 and 3 years of age. Care coordination services for medically complex children are also provided for those who are covered by a health plan and receive care from providers in Cook County</div></div><div><div><h2 class="jobSectionHeader">
Job Description</h2></div><div>
Position Summary
The Revenue Cycle Manager is responsible for the strategic oversight and day-to-day management of the hospital&rsquo;s financial health. This role leads the Billing and Coding teams in a specialized pediatric environment, ensuring high-quality charge capture, accurate coding, and timely reimbursement.
A critical component of this role includes leading the department through a transition from legacy systems (Meditech and Athena) to an Epic platform, while maintaining expert compliance with Illinois Medicaid regulations and pediatric-specific billing requirements.
Key Responsibilities
Leadership &amp; Supervision<ul><li>Direct Supervision: Manage, mentor, and evaluate the performance of Billing and Coding specialists.</li><li>Staff Development: Provide continuous training on pediatric-specific coding (ICD-10-CM, CPT, HCPCS) and evolving payer regulations.</li><li>Workflow Optimization: Establish departmental KPIs (e.g., Days in AR, Clean Claim Rate, Denial Rate) and hold staff accountable to production standards.</li></ul>
Systems &amp; Implementation<ul><li>Legacy Management: Oversee current revenue operations within Meditech (Hospital/Inpatient) and Athena (Ambulatory/Outpatient) to ensure no revenue leakage during the transition.</li><li>Epic Implementation: Serve as the Revenue Cycle Subject Matter Expert (SME) for the Epic go-live. Duties include workflow design, system testing, data migration validation, and end-user training for the billing/coding modules.</li><li>Interoperability: Ensure seamless data flow between legacy archives and the new Epic environment.</li></ul>
Illinois Medicaid &amp; Pediatric Compliance<ul><li>Regulatory Expertise: Serve as the primary resource for Illinois Medicaid (HFS) guidelines, including Managed Care Organizations (MCOs) and the All Kids program.</li><li>Pediatric Billing: Manage complex pediatric billing scenarios, including neonatal care, rehabilitative therapy, and long-term pediatric chronic care.</li><li>Audit &amp; Compliance: Conduct internal audits to ensure coding accuracy and compliance with state and federal healthcare laws.</li></ul>
Financial Operations<ul><li>Denial Management: Analyze denial trends and implement root-cause solutions to reduce rejections from Illinois Medicaid and commercial payers.</li><li>Reporting: Prepare monthly financial reports and dashboards for senior leadership regarding AR aging and cash collection targets.</li><li>Liaison: Act as the bridge between clinical departments and the finance office to ensure clinical documentation supports billed services</li></ul></div></div><div><div><h2 class="jobSectionHeader">
Qualifications</h2></div><div>
Qualifications<ul><li>Education: Bachelor&rsquo;s degree in Healthcare Administration, Finance, or a related field (Master&rsquo;s preferred).</li><li>Experience: * Minimum 5+ years in Healthcare Revenue Cycle Management.</li></ul>
 o Proven experience in a supervisory role overseeing billing and coding professionals.
 o Direct experience with Illinois Medicaid reimbursement and policy.<ul><li>Technical Skills: * Proficiency in Meditech and AthenaIDX/One.</li></ul>
 o Epic Certification or previous experience leading an Epic Implementation (Resolute Hospital Billing/Professional Billing) is highly preferred.<ul><li>Certifications: CPC (Certified Professional Coder), CCS (Certified Coding Specialist), or CRCR (Certified Revenue Cycle Representative) preferred</li></ul> 
Required Competencies<ul><li> Change Management: Ability to lead a team through the technical and emotional challenges of a major EHR transition.</li><li>Analytical Thinking: Deep understanding of healthcare data to identify trends in underpayments or billing errors.</li><li>Pediatric Focus: Sensitivity to the unique billing needs of a small, 39-bed children&rsquo;s facility.</li></ul></div></div><div><div><h2 class="jobSectionHeader">
Additional Information</h2></div><div>
La Rabida Children&rsquo;s Hospital is very proud to be an Equal Employment Opportunity Employer<div></div>
La Rabida is a place unlike any other. We understand the needs of families with children dealing with the most serious or complicated of conditions. With teams of the best healthcare providers in Chicago, we give continuous, comprehensive care, education, and support, helping families face their unique obstacles head-on.
La Rabida Children&rsquo;s Hospital is very proud to be an Equal Employment Opportunity Employer.</div></div></div>

Manager of Revenue Cycle

Parkland Health

<div>Location: Main Hospital Bldg - 1st Flr 
 
Shift: Monday - Friday 10:30pm - 7:00am 
 
Primary Purpose
 
Supervise all processes related to the financial and operational functions within the Patient Financial Services (PFS) division to include all facets of PFS including both front and back end supervision. 
 
Minimum Specifications
 
 
Education 
<ul><li>
Must have a High School Diploma or GED equivalent.</li><li>
Prefer an Associate's degree in Business Administration.</li></ul> 
Experience 
<ul><li>
Must have a minimum of six (6) years' experience in patient registration, financial clearance, patient access, accounts receivable or revenue integrity within the past 10 years.</li></ul> 
Equivalent Education and/or Experience 
<ul><li>
May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above.</li></ul> 
Certification/Registration/Licensure 
<ul><li>
None</li></ul> 
Skills or Special Abilities 
<ul><li>
Advanced knowledge of healthcare A/R, collections, insurance, pre-authorizations, pre-registration, registration, financial counseling, and appeals</li><li>
Advanced understanding of Compliance Guidelines</li><li>
Advanced knowledge of healthcare reimbursement methodologies</li><li>
Advanced knowledge of the hospital based operations related to the revenue cycle including Health Information Management, Patient Access, Clinical Quality/case Management, Management Information Systems, Accounting and Finance</li><li>
Excellent written and verbal communication and interpersonal skills</li><li>
Ability to prioritize work demands and meet deadlines</li><li>
Demonstrate ability to hire and lead a cohesive team to optimal results</li><li>
Understanding of HIPAA and FDCPA compliance and regulations</li><li>
Proficient in PC/Systems including the Internet and MS office applications</li><li>
Must demonstrate a working knowledge of personal computers and other standard office equipment</li><li>
Must be able to demonstrate a working knowledge with regard to the software application used in the assigned area.</li><li>
Must have the ability to teach and instruct in a manner that others can comprehend and retain information</li><li>
Must understand managed care and insurance contractual arrangements</li><li>
Must possess deductive reasoning and rational thinking skills</li><li>
Must be detail oriented and have sharp analytical skills to address complex issues relating to managed care contracts, state and federal agency contracts, funding programs and budgetary constraints</li><li>
Must demonstrate a positive demeanor and a professional approach to dealing with patients as well as internal and external customers</li><li>
Must be able to relate to different cultures, backgrounds and individuals of all sorts with an unbiased demeanor and open mind</li><li>
Must be professional in appearance at all times</li></ul> 
Responsibilities 
<ul><li>
Selects, trains, motivates, supervises and evaluates employees. Makes recommendations for disciplinary actions up to and including termination. Responsible for ensuring maximum utilization of individual and group capabilities from the entire team. Responsible for Time and Labor editing to ensure all employee records are accurate and reflect actual time worked. Ensures employees are knowledgeable and current on all policies, procedures and laws pertaining to their job description.</li><li>
Must be able to travel to all Parkland facilities and work any and all shifts as necessary. Provides daily support/mentoring/training to new hires as well as existing Revenue Cycle staff. Provides assistance in managing escalated issues as needed. Assists in preparation for both short and long range planning recommendations for all departments in PFS.</li><li>
Must possess skills to audit, monitor and track productivity. Review patient accounts and financial files to ensure appropriate funding program sources are pursued. The application process must be completed accurately within the guidelines set forth. Routinely performs quality checks to ensure employees are exhibiting good stewardship over funds allocated for programs.</li><li>
Functions as a work leader providing operational support and demonstrates the ability to perform each task as efficiently and effectively as top performing team members. Must be able to perform every job task within the realm of job responsibilities under his/her leadership. Performs as back up to staff absences and vacancies, as necessary. Requires an understanding of reporting staff's duties.</li><li>
Performs quality assurance reviews toward meeting standards related to quality and quantity of work and providing feedback to staff regarding strengths and weaknesses. Provides individual feedback to staff regarding the quality and efficiency of his/her performance. Proposes and implements procedural and system changes for enhancing the staff's productivity, quality and efficiency.</li><li>
Clear understanding of Revenue Cycle Management and Regulatory Agencies required. Provides direction and monitoring to ensure compliance with government regulations, HIPAA standards and payor billing requirements. Responsible for the monitoring of daily activity and completion of reporting on all key point indicator measures.</li><li>
Actively involved in day to day operations of the department and maintain a professional, courteous, respectful and positive working relationship with patients, families, visitors and employees alike.</li><li>
Acts as part of the management team to ensure that the group is meeting all operational goals Interfaces with external entities such as third party payors, regulatory agencies and other health care institutions, vendors, patients and families.</li></ul> 
Job Accountabilities 
<ul><li>
Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.</li><li>
Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.</li><li>
Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.</li></ul> 

Requisition ID: 986261</div>

Supervisor of Revenue Cycle

CorroHealth

<div>About Us: 
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. 
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
Supervisors lead a group of Team Members performing work for assigned client(s). Supervisors ensure client needs are met by organizing inventory and workflow and ensuring that Team Members are engaged and able to adequately perform their duties.
ESSENTIAL DUTIES AND RESPONSIBILITIES: 
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member&rsquo;s performance objectives as outlined by the Team Member&rsquo;s immediate Leadership Team Member.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
<ul><li>Manage staff in accordance with Company policies and procedures in a manner that engages and motivates.</li><li>
Monitor Team Member performance and provide feedback and training to improve production and quality.</li><li>
Assess training needs and provide development opportunities for team members.</li><li>
Participate in the interview and selection process for new team members.</li><li>
Facilitate positive and productive working relationships with Global Team Members.</li><li>
Understand Client requirements, analyze data, identify trends and participate in client meetings.</li><li>
Ensure ParaPath module reflects current client desk procedures and most efficient process.</li><li>
Create and maintain client preference guides; ensure that client preferences are clearly articulated to Team Members.</li><li>
Ensure Team Members have appropriate and timely access to client systems.</li><li>
Actively manage new inventory, high balances and ageing from placements.</li><li>
Monitor and manage inventory to ensure that account resolution is achieved quickly.</li><li>
Other duties as assigned.</li></ul>
MINIMUM QUALIFICATIONS &amp; REQUIREMENTS:<ul><li>
Highschool diploma or equivalent</li><li>
At least 2 years supervisory experience preferred</li><li>
Experience in Revenue Cycle Management</li><li>
Experience effectively managing remote team members</li><li>
Excellent verbal and written communication skills</li><li>
Ability to present information professionally to clients</li><li>
Proficiency in Outlook, Word and Power Point skills (ability to create emails, schedule meetings and prepare documents and presentations)</li><li>
Intermediate Excel skills (vlookup, sumif, countif, pivot tables, basic formulas)</li><li>
Ability to organize and facilitate meetings (prepare agenda, assign to-do&rsquo;s, record meeting minutes, follow ups)</li><li>
Ability to analyze data and identify trends</li><li>
Ability to work independently and with a team to meet multiple competing priorities</li></ul>
PHYSICAL DEMANDS: 
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. 
A job description is only intended as a guideline and is only part of the Team Member&rsquo;s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.</div>

Supervisor, AR Solutions

Rapid City Medical Center

<div>Rapid City Medical Center is seeking a detail-oriented, customer-focused individual to join our Business Office in a full-time Patient Accounts Supervisor role. This vital position plays a key role in supporting patients and staff by providing clear, accurate, and compassionate assistance with billing-related inquiries&mdash;all while delivering exceptional customer service. 
Who We Are

Rapid City Medical Center is a physician clinic dedicated to excellence, choice, and patient-centered care. We prioritize building strong relationships with our patients, partnering with them throughout their health journey. Our team of 90 physicians and advanced practice providers, supported by over 400 employees, combines leading-edge technology with medical expertise to ensure efficient and effective appointments and smooth insurance interactions. 
We thrive on collaborating with smart, compassionate individuals. Our work can be challenging, but we are motivated by serving our families, friends, and community in meaningful ways. We value work-life balance and career satisfaction, offering competitive wages, exceptional benefits, and a workplace where you can feel proud of your contributions. 
ESSENTIAL FUNCTIONS:
<ul><li>Recruit, train, and lead staff to ensure efficient utilization of resources, including implementation of performance incentives, recognition programs, and disciplinary actions as needed.</li>
<li>Foster professional development for self and team members.</li>
<li>Collaborate with Business Office teams and clinic departments to achieve collection goals.</li>
<li>Work closely with all team members to ensure patient concerns are addressed professionally and promptly.</li>
<li>Promote excellence in customer service through clear, effective communication with patients and internal departments.</li>
<li>Oversee timely and professional handling of all claim balances, including claim submissions, patient statements, and collection account processes.</li>
<li>Monitor trends in claim denials and processing. Promptly report any concerns related to potential fraud, abuse, or overpayments.</li>
<li>Collaborate closely with all revenue cycle management to ensure that errors are communicated in a timely manner.</li>
<li>Continuously train and monitor staff to ensure comprehensive understanding of RCMC&rsquo;s financial policies and Business Office workflows.</li>
<li>Track and report team productivity to ensure performance standards are met consistently.</li>
<li>Conduct regular audits of team activities to ensure accuracy and compliance.</li>
<li>Ensure full compliance with HIPAA guidelines across all teams.</li>
<li>Oversee the professional and timely processing of medical record requests.</li>
<li>Uphold confidentiality of patient, staff, and organizational information.</li>
<li>Perform additional duties as assigned.</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>High school degree or equivalent.</li>
<li>Experience with supervising staff.</li>
<li>Minimum of four years of experience within a medical office setting.</li>
<li>Preferred experience in working directly with patients regarding benefits and collecting patient balances.</li></ul> 


KNOWLEDGE:
<ul><li>Knowledge of medical terminology, billing and collection practices.</li>
<li>Knowledge of health insurance processing and the ability to read and interpret an explanation of benefits (EOB).</li>
<li>Basic knowledge of Microsoft Word and Excel.</li>
<li>Knowledge of HIPAA.</li>
<li>Knowledge of payer benefits.</li></ul> 


SKILLS &amp; ABILITIES:
<ul>
<li>Proven ability to assess and manage department workload and workflows to optimize staff efficiency.</li>
<li>Skilled in setting productivity standards and establishing timelines for task completion.</li>
<li>Demonstrated ability to manage multiple projects simultaneously in a deadline-driven environment.</li>
<li>Effective at identifying process inefficiencies and implementing corrective actions.</li>
<li>Strong multi-tasking skills; able to adapt to shifting priorities under pressure.</li>
<li>Excellent verbal and written communication skills, with the ability to build and maintain cooperative relationships with patients, families, physicians, staff, and other stakeholders.</li>
<li>Detail-oriented with the ability to conduct thorough reviews of patient charts.</li>
<li>Highly organized with strong problem-solving capabilities.</li>
<li>Proficient in resolving disputes professionally and effectively.</li></ul> 


ENVIRONMENTAL/WORKING CONDITIONS:
<ul><li>Work is performed in an office environment.</li>
<li>Frequent contact with employees.</li>
<li>Frequent interruptions.</li>
<li>Minimal exposure to communicable diseases.</li></ul> 


PHYSICAL/MENTAL DEMANDS:
<ul><li>Primarily a sedentary role, requiring the ability to sit for extended periods.</li>
<li>Occasionally required to lift and/or move up to 10 pounds.</li>
<li>Must be able to talk, listen, and speak clearly on telephone.</li>
<li>Requires manual dexterity for computer keyboard use.</li></ul> 


This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve. 
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status.</div>

Patient Accounts Supervisor

The Cigna Group

<div>We are seeking a dedicated Collections Supervisor for our Revenue Cycle Team. 
What you'll do to make a difference:<ul><li>
Manage assigned book of business to ensure that goals are achieved.</li><li>
Plan and organize departmental resources: people, equipment, and supplies.</li><li>
Develop consistent processes and establish performance standards.</li><li>
Assist with hiring, training, and developing staff while identifying opportunities to enhance their knowledge.</li><li>
Ensure that departmental productivity, compliance, and quality standards are met.</li><li>
Audit staff performance as needed.</li><li>
Ability to multi-task and complete projects with short deadlines.</li><li>
Identify problems, define alternatives, and recommend solutions for process improvements.</li><li>
Review and update policies and procedures as needed.</li><li>
Openly and consistently communicate with other departments, payers, and vendors.</li><li>
Other duties as assigned.</li></ul> 
What you need to be successful:<ul><li>
High school diploma or GED required.</li><li>
Strong leadership skills with an ability to effectively manage staff.</li><li>
3+ years of healthcare billing, registration, and patient business services.</li><li>
Experience with third-party payer guidelines, billing practices and reimbursement practices is preferred.</li><li>
Proficiency in the Microsoft Suite.</li><li>
Ability to work independently and in a team environment.</li><li>
Knowledge of healthcare changes and third-party payer regulations.</li><li>
Knowledge of Medicare billing and requirements.</li><li>
Strong organizational, time management and interpersonal skills.</li><li>
Ability to maintain confidentiality with all assignments.</li><li>
Excellent analytical and problem-solving skills.</li><li>
Ability to professionally interact, develop and manage relationships with multiple levels and departments.</li><li>
Excellent written and verbal communication.</li><li>
Experience with CPR+, HCN, and CareTend systems is a nice-to-have.</li></ul> 

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 54,500 - 90,900 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you&rsquo;ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you&rsquo;ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we&rsquo;re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.</div>

Enrollment/Billing Supervisor - Evernorth - Remote

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