Revenue Cycle Supervisor

Under the direct supervision of the Revenue Cycle Director, the Revenue Cycle Supervisor is responsible for overseeing and optimizing revenue-related operations. This role involves in-depth analysis of both incoming and outgoing revenue streams, as well as the preparation of advanced, complex technical and analytical reports, including key performance indicators for the assigned team. The Revenue Cycle Supervisor will directly manage one of the following teams: Accounts Receivable, Claims Submission, Site Coordination, or Payment Posting. The primary objective of this role is to enhance the efficiency, quality, and financial performance of the Revenue Cycle function.

What you will do:

• Supervises daily activities of the denial and follow-up team to ensure timely and effective claim resolution by conducting regular team meetings, provides performance feedback (Individual One on One), trains and mentors staff on payer guidelines, denial codes, appeal processes, program guidelines, and customer service standards.
• Monitors aged claims, follow-up buckets and ensures proactive follow-up with insurance companies, government payers, and third-party administrators and ensures it is done consistently and timely.
• Oversees the identification, categorization, and root cause analysis of denied claim to ensure appropriate and timely appeal submission, reconsiderations, or corrected claim and done timely, while developing and implementing denial prevention strategies based on trend and root cause analysis.
• Maintains accurate documentation of follow-up and appeal activities for audit readiness, monitors and reports on Key metrics such as Denial rate, appeal success rate, Days in accounts receivable (A/R), and claims touch per days per staff.

Who you are:

• High School Diploma or GED required. Associate’s Degree or 3-5 years prior health-care revenue cycle analyst experience (if no degree) preferred.
• 2-3 years’ management experience required.
• Ability to resolve conflict and delegate tasks within scope of work.
• Ability to schedule, meet and maintain daily and monthly routines, as well as preserve the integrity of the EHR.
• Ability to identify team goals and evaluate progress, in addition to coaching team members to achieve these goals.
• Extensive knowledge of medical insurance and an overall understanding of managed care products (HMO, PPO, ACO, etc.) as well as billing and collections with CPT, ICD-10, and HCPC coding and medical terminology.
• Understanding and ability to read and edit 5010 HIPAA transaction standards including, but not limited to, 837, 999, 277, and 835 file types.
• Proficient in Microsoft Office products with strong skills in Excel (VLOOKUPs, pivot tables, formulas, etc.).
• Extremely detail-oriented with strong analytical and problem-solving skills.
• Strong analytical and problem-solving skills.
• Excellent verbal and written communication skills.

Pay range: $72,000 - $75,000 per year

How do I apply?

If you are interested in this opportunity, please click “Apply for Job” below or visit our website at and click on “Browse All Jobs” to apply! You can also email your resume to Elisa Auker at [email protected].

BHN is committed to social justice and diversity and strongly encourages diverse candidates to apply. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.