Job Description

Job Summary

The RCM Supervisor is responsible for overseeing daily revenue cycle operations, ensuring accurate and timely claims processing, improving collections performance, and managing a team of RCM specialists. This role requires strong knowledge of healthcare billing processes, payer requirements, denial management, and performance optimization. The RCM Supervisor works closely with internal teams, healthcare providers, and payers to maximize revenue and maintain compliance with industry regulations.

Key Responsibilities

• Supervise and mentor RCM team members, including medical billing, claims, denial management, and payment posting staff.
• Monitor daily productivity, quality, accuracy, and turnaround time metrics.
• Manage the complete revenue cycle process, including:
  • Patient registration and eligibility verification
  • Charge entry and coding review
  • Claims submission and follow-up
  • Payment posting and reconciliation
  • Denial management and appeals
  • Accounts receivable (AR) follow-up
• Analyze AR aging reports and develop action plans to reduce outstanding balances.
• Track key performance indicators (KPIs) and prepare operational reports.
• Identify process improvement opportunities to increase collections and reduce claim denials.
• Ensure compliance with healthcare regulations, payer guidelines, HIPAA requirements, and internal policies.
• Conduct team meetings, performance reviews, coaching sessions, and training programs.
• Collaborate with clients, providers, coding teams, and insurance representatives to resolve billing issues.
• Escalate complex payer and claim-related issues when required.
• Support implementation of new processes, systems, and workflow improvements.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or related field preferred.
• 5 – 8 years of experience in healthcare revenue cycle management.
• 3 – 5 years of experience in an RCM leadership/supervisory role.
• Knowledge of ICD-10, CPT, HCPCS, and medical billing guidelines.
• Experience managing denial resolution and AR follow-up activities.
• Proficiency with RCM systems, billing platforms, and Microsoft Office tools.
• Strong analytical, communication, and leadership skills.