Job Description
Job Title:
Revenue Cycle Management (RCM) Supervisor 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.
