CORE VALUE COMMITMENT:

In common mission, our teams work together with our patients at the center. We strive to continuously improve. We value one another’s diversity of talent, experience, and perspective. We each contribute to something bigger than ourselves while promoting integrity, belonging, and collaboration.

JOB SUMMARY:

The Revenue Cycle Supervisor is responsible for overseeing and improving revenue cycle operations within an organization. They play a critical role in ensuring that the revenue cycle functions efficiently and effectively to maximize collections, improve cash flow, and maintain compliance with external regulations and internal protocols. Here is a breakdown of the essential job functions associated with this role:

ESSENTIAL JOB FUNCTIONS:

• Staff Management: Select, train, orient, develop, and evaluate the performance of all revenue cycle staff members. This includes providing guidance and support to ensure the team's effectiveness in their roles.
• Operations Coordination: Direct and coordinate the daily operations of the billing staff. Ensure adherence to established workflows, efficiency/documentation standards, and customer service expectations. Monitor the demand within the revenue cycle, reallocate resources when necessary, and implement new procedures or workflows as needed.
• Process Improvement: Collaborate with the revenue cycle team to identify areas for improvement. Develop and implement process improvement plans to enhance operational efficiency. Follow up on feedback and assess the effectiveness of implemented changes.
• Documentation: Maintain accurate documentation within Practice Management (PM) and Electronic Health Records (EHR) systems. This ensures that claims can be collected efficiently and in compliance with relevant regulations.
• Self-Pay Collections: Develop and implement process improvements for self-pay collections rates and strategies. Identify and eliminate rework to optimize collections. Continuously evaluate the effectiveness of self-pay collection methods.
• Business Strategies: Collaborate with managers to implement process improvement plans aligned with the organization's business strategies.
• Collaboration: Foster a collaborative environment within the revenue cycle team and across the organization. Encourage teamwork and cooperation to achieve common goals.
• Performance Evaluation: Assess the accuracy and efficiency of revenue cycle staff on an ongoing basis. Provide feedback to employees and identify opportunities for process improvement.
• Denials Management: Advise and assist with denials management and claims corrections as necessary. Ensure denials are addressed promptly and effectively to minimize financial losses.
• Payer Path Improvement: Identify and implement improvements related to Payer Path issues. Optimize the revenue cycle by streamlining processes associated with different payers.
• Support Functions: Assist with payment posting, insurance verification, coding, patient payments, and billing questions as necessary. Provide guidance and support to staff members in these areas.
• Special Projects: Complete special projects as assigned by the supervisor. These projects may involve research, analysis, and implementation of new strategies or initiatives.
• Key Performance Indicators (KPIs): Monitor and report on assigned KPIs related to the revenue cycle. Identify trends, analyze data, and develop strategies to manage and improve performance.
• Learning Opportunities: Share learning opportunities, such as errors or challenges, with the appropriate staff and departments. Collaborate on solutions to reduce rework and enhance efficiency.
• Patient Experience: Strive to improve the patient experience by being inquisitive, responsive, innovative, and flexible. Continuously seek opportunities to enhance the revenue cycle process from the patient's perspective.

KNOWLEDGE, SKILLS & ABILITIES

• Knowledge of healthcare billing procedures.
• Knowledge of insurance claims processing.
• Skill in using a computer and a variety of software, including Electronics Health Records (EHR) software, scheduling software, Word, Excel, and Outlook.
• Skill in communicating in a professional manner, both verbally and in writing.
• Skill in managing multiple priorities and delegating as needed.
• Ability to work collaboratively.
• Ability to act as a good representative of the Company.
• Ability to maintain confidentiality regarding sensitive issues, patient care, privacy, and confidentiality.
• Ability to work independently and in a team environment.

EDUCATION & EXPERIENCE:

High school diploma or GED required. Minimum of four years’ experience in payment posting, medical coding, medical billing and accounts receivable.

Think Whole Person Healthcare is an Equal Opportunity Employer