Senior Supervisor, RCM

This is a fully remote position, open to applicants in United States.

📋 Description

• Supervise both domestic and offshore revenue cycle management staff, ensuring that RCM tasks are executed within the designated timeframes.

• Oversee the daily operations and processes of the RCM team across various locations.

• Develop and monitor daily, weekly, monthly, and quarterly key performance indicators for offshore RCM personnel.

• Track, analyze, and distribute metrics related to completed RCM tasks.

• Ensure adherence to billing procedures for third-party, private insurance, and government reimbursements.

• Validate and enhance the accuracy and completeness of patient insurance data.

• Maintain an understanding of both upstream and downstream processes.

• Suggest and implement improvements in systems and processes focused on quality and efficiency.

• Identify and eliminate departmental bottlenecks while resolving issues.

• Report on employee audit metrics concerning accuracy and productivity.

• Train and develop team members on AdaptHealth’s policies and protocols.

• Address escalated phone calls, insurance payer disputes, billing questions, and account discrepancies.

• Liaise with other departments and leadership to resolve billing challenges and minimize insurance denials.

• Identify the root causes of inaccurate insurance billing and communicate trends to management.

• Facilitate team meetings focused on insurance guidelines, claim denials, and retraining initiatives.

• Collaborate with leaders on managing contract price tables to ensure accurate billing and payer information.

• Ensure that RCM staff finalize month-end processes prior to closing.

• Maintain an understanding of the company’s products and services.

• Uphold HIPAA confidentiality and compliance standards.

• Select, hire, onboard, and train qualified staff, providing ongoing feedback.

• Plan, monitor, evaluate, coach, counsel, and discipline employees as necessary.

• Establish annual departmental objectives that align with the organizational strategy.

• Meet performance, retention, and timely evaluation goals.

• Perform additional related duties as assigned.

⛳️ Requirements

• An associate degree from an accredited institution is required; an advanced degree is preferred.

• A minimum of three (3) years of relevant experience in healthcare administration, finance, insurance customer service, claims, billing, call center, or management in any industry is required.

• Two (2) years of experience with HME claims is preferred.

• Strong leadership capabilities are essential.

• Excellent analytical and problem-solving skills with a keen attention to detail.

• Outstanding verbal and written communication skills.

• Exceptional customer service abilities.

• Proficient in computer applications, particularly Microsoft Office, with a focus on Excel.

• Ability to prioritize and manage multiple projects simultaneously.

• Strong aptitude for learning new technologies and understanding data flow through systems and their interactions.

• Must be capable of bending, stooping, stretching, standing, and sitting for prolonged periods.

• Ability to lift up to 30 pounds as necessary.

• Willingness to travel as required.

• Ability to communicate effectively with internal and external customers while demonstrating empathy, compassion, courtesy, and respect for privacy.

• Commitment to maintaining patient confidentiality and adherence to HIPAA guidelines.

• Compliance with federal, state, and local legal requirements is mandatory.

• Must complete mandatory compliance training and other educational programs as required.

🏝️ Benefits

• No benefits, perks, or compensation extras are specified in the posting.