What are the responsibilities and job description for the RCM Supervisor position at PROMD PRACTICE MANAGEMENT INC?
Job Title: Revenue Cycle Management (RCM) Supervisor
Department: Revenue Cycle Management
Reports To: Manager of Revenue Cycle Services
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.