RCM AR Supervisor

About Primary Health Solutions

Our Mission

We meet people where they are and partner with them on their journey towards wellness.

Our Vision

The destination for servant leaders to provide comprehensive and exceptional care.

Our Values

R – Respect

I – Innovation

S – Stewardship

E – Excellence

Revenue Cycle Supervisor I Summary

The Revenue Cycle Supervisor (RCS) oversees revenue cycle operations in collaboration with the Director & Sr RC Manager to ensure timely and accurate reimbursement. This role is responsible for overseeing staff, reviewing system & clearinghouse issues, while working with the Payer Coordinator to resolve payer issues. The RCS handles initial patient issues and collaborates with RCM management & 3rd party billing company on revenue cycle processes. The RCS leads training efforts to ensure performance management and efficient and compliant operations per focus provided by the SRCM, & DRCM to meet PHS’s Goals

A Day in the Life

· Manage RCM staff performance, providing regular feedback & conducting one-on-one meetings.

· Identify patient reimbursement issues on claims, denials and appeals to resolve billing issues.

· Collaborate with RCM Management &Payer Enrollment coordinator to resolve provider issues,

· Works with RCM Management & Operations to ensure accurate billing information is obtained

· Review financial hardship applications (sliding fee scale) to RCM Management for approval

· Efficiently manages patient complaints., and/or escalates to RCM management, if appropriate

· Provide Training to front desk staff, practice managers, and other staff on payer processes

· Work with coding and quality staff for educating providers on correct coding practices.

· Work directly with payers on claims issues

· Collaborating with Sr RCM on payer contracts, for review with DRCM and Payer Coordinator

· Assist and cover RCM and payer enrollment follow up needs as needed,

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Core Competencies

· Customer Service: Committed to increasing customer satisfaction, sets proper customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met.

· Communication: Understand and communicate effectively with others using various contexts and formats, including writing, speaking, reading, listening and interpersonal skills.

· Dependability: Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements.

· Quality: Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems.

· Productivity: Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, and handles information flow.