Revenue Cycle Supervisor

POSITION TITLE: REVENUE CYCLE SUPERVISOR

FLSA: EXEMPT

Job Summary:

The Billing Supervisor oversees the daily operations of the billing department, ensuring accurate and timely processing of invoices, payments, and financial records. This role involves managing a team of billing specialists, monitoring accounts receivable, resolving billing issues, and ensuring compliance with company policies and regulatory standards.

Supervisory Responsibilities:

• Manage, mentor, and supervise the billing team to ensure efficient and accurate revenue cycle operations.
• Assign tasks, monitor performance, and provide feedback to team members.
• Conduct regular training sessions to improve team performance and ensure compliance with billing procedures and policies.
• Monitor the team's productivity and provide regular feedback to ensure high performance.
• Ensure the team adheres to accounting principles, SCHC policies, and regulatory requirements.

Duties/Responsibilities:

• Oversee the accurate preparation and processing of invoices, claims, and payments.
• Ensure that all revenue cycle data, including charges, credits, and adjustments, is processed in a timely and accurate manner.
• Review accounts receivable and ensure that collections are managed effectively.
• Monitor and audit revenue cycle processes to identify discrepancies and resolve errors.
• Ensure all revenue cycle operations comply with relevant regulations, company policies, and industry standards (e.g., HIPAA for healthcare settings).
• Maintain accurate records and documentation to support internal and external audits.
• Prepare and analyze revenue cycle reports to identify trends, performance gaps, and areas for improvement.
• Stay up to date with changes in revenue cycle regulations and ensure the department adheres to them.

• Serve as the point of contact for complex revenue cycle issues and inquiries from patients, and third-party payers.
• Resolve disputes and discrepancies in revenue cycle, working directly with patients and payers to ensure timely resolution.
• Collaborate with other departments, such as but not limited to Clinic Administrators, Assistant Clinic Administrators and finance, to streamline revenue cycle processes and address issues.
• Oversee the use of revenue cycle software systems and ensure that they are utilized effectively by the billing team.
• Identify opportunities to enhance the efficiency and accuracy of the revenue cycle process through system upgrades or process improvements.
• Work with IT and finance teams to troubleshoot revenue cycle system issues and recommend solutions.
• Monitor aging reports and oversee collection efforts to minimize overdue accounts and maintain positive cash flow.
• Implement strategies to reduce outstanding payments and ensure prompt follow-up on unpaid claims.
• Work with the collections team to develop and execute collection procedures.
• Develop training materials and conduct staff training on revenue cycle procedures, systems, and compliance standards.
• Encourage professional development and create opportunities for team members to enhance their skills.
• Perform additional tasks as needed to support the centers.

Required Skills/Abilities:

• Excellent verbal and written communication skills.
• Excellent interpersonal and customer service skills.
• Excellent organizational skills and attention to detail.
• Excellent time management skills with a proven ability to meet deadlines.
• Strong analytical and problem-solving skills.
• Collaborate with IT and finance teams to troubleshoot issues with revenue cycle systems.
• Stay updated on software updates and best practices to optimize revenue cycle processes.
• Ability to prioritize tasks and to delegate them when appropriate.
• Must be able to effectively manage workflow and maintain high-quality standards in environments where staffing levels may be below ideal, demonstrating the ability to prioritize tasks and collaborate with the team under pressure.
• Ability to function well in a high-paced and at times stressful environment.
• Ability to use office equipment, including computers, copy machines, fax machines, telephones, calculators, and more.
• Proficient with Microsoft Office Suite or related software.

Education and Experience:

• Bachelor's degree in Accounting, Business Administration, Healthcare Management or related field is preferred.
• At least three years related experience required.
• Proficiency in billing software, EMR systems, and Microsoft Office (Excel, Word, Outlook and similar software)
• Familiarity with Medicare, Medicaid, private insurance reimbursement, and coding systems.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.
• Must be able to travel to various center locations as required.