RCM Supervisor, Billing

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Develop and implement program guidelines, policies, and procedures.

• Assess appropriate staffing levels.

• Prepare and oversee billing guidelines for each insurance provider.

• Mentor and train staff members.

• Monitor and analyze rules in Encoda for ongoing improvement.

• Create innovative solutions to operational issues.

• Retrieve claims from Electronic Medical Records (EMR).

• Examine charges, documentation, diagnosis coding, pointers, modifiers, NDCs, providers, sites, insurance, filing types, and referrals/authorizations for correctness and suitability.

• Identify and address duplicate charges and exceptions in system scrubbing.

• Relay questions, concerns, and observed trends to hub personnel, providers, coding teams, RCM staff, and management.

• Approve and batch claims.

• Verify for any unretrieved charges.

• Resolve front-end rejections to ensure claims are delivered to payers.

• Establish and maintain departmental working documents, policies, procedures, and carrier-specific guidelines.

• Conduct team meetings and provide ongoing training on inquiries, error trends, process failures, and compliance.

• Offer continuous training and assistance.

• Supervise RCM Billing Specialists and staff in the Scrubbing department.

• Stay informed about practice management and other software applications.

• Attend necessary meetings, Medicare sessions, and continuing education courses.

• Complete assigned AP training, including CPR, OSHA, HIPAA, Compliance, and Information Security.

• Adhere to Allergy Partners policies and exemplify the AP Code of Conduct and Compliance Program.

⛳️ Requirements

• High school diploma or GED equivalent is required.

• College education or trade school is preferred.

• Certification as a CPC is preferred.

• Prior experience in Medical Billing is preferable.

• Preference will be given to candidates with at least eighteen months of experience.

• Must be comfortable using email and engaging with Internet applications.

• Familiarity with practice management and Microsoft processing software is necessary.

• Demonstrated understanding of Explanation of Benefits forms, claim forms, and the insurance billing process.

• Working knowledge of managed care, commercial insurance, Medicare, and Medicaid reimbursement is required.

• Basic knowledge of CPT and ICD-10 coding is expected.

• Strong written and verbal communication skills are essential.

🏝️ Benefits

• Competitive salary and benefits package.

• Opportunities for professional development and advancement.

• Supportive work environment with a focus on teamwork.