The Revenue Cycle Supervisor is responsible for managing and supervising the central billing and collection operations for Private Clinic AR to ensure accurate and timely submission of claims, prompt collections and aggressive denial management. They will support the Revenue Cycle Supervisor in process and workflow improvements and implement payor billing changes as needed. The Revenue Cycle Manager is responsible for leading special projects and escalating and corresponding elevated issues with payers to resolve reimbursement issues efficiently and effectively. Will provide effective and timely communication of department issues or success to Director and VP. Ensures compliance with relevant laws, regulations, established company policies and compliance programs. Employee will share the vision and mission of PT Solutions.

Essential Functions:

• Regularly reviews the workflows and processes of the Revenue Cycle team to identify opportunities for efficiencies and workflow improvements
• Develops, monitors and assesses team metrics in order to refine processes and improve processes to ensure team members are hitting expected metrics.
• Works collaboratively with Revenue Cycle Supervisors to provide monthly trainings and refreshers based on recent payor changes, recent claims processing and recent reviews of process improvement.
• Monitors new clinics in the first 90 days in relation to charge posting, payment posting, claims billing, denials and items that can effect revenue for new locations.
• Performs regular internal audits of the aging AR to maximize the collection of payments and reimbursements from insurance carriers, and coordinates with the Revenue Cycle Supervisors to address any inefficiencies in staff performance.
• Responsible for coordinating and escalating special projects with payers in relation to reimbursement issues to ensure claims processing is accurate and full reimbursement is obtained.
• Meets regularly with RDOs and RTCs to provide feedback on trends relating to denials and write-offs caused by in the clinic practices, to initiate retraining or any needed corrective action.
• Works collaboratively with third party Revenue Cycle vendors for additions, improvements, builds of new clinics and any other applicable needs.
• Makes use of management practices that include empowerment of staff, the provision of clear and concise expectations regarding duties assigned to employees, frequent feedback focusing on both positive and problematic aspects of work performance and other management practices that are consistent with Continuous Quality Improvement.
• Promotes and maintains harmonious and effective relationships and communications within the department and with other departments.
• Provides leadership support and oversight of Revenue Cycle Supervisors

Required Skills and Abilities:

• Excellent supervisory skills including coaching, performance improvement and training.
• Detailed knowledge of Medicare, Medicaid, commercial insurance billing and other payers along with associated billing/collections timelines.
• Strong analytical and problem solving skills with the ability to move issues forward to resolution.
• Ability to understand complex reimbursement contracts.
• Ability to relay information clearly and communicate effectively.

Required Credentials:

• Bachelor’s degree in Health Care or Business, or equivalent OR 4 years of revenue cycle management experience required
• At least four (2) years of medical revenue cycle management experience required with a consistent track record of achieving metrics.
• Overall revenue cycle experience should exceed five (5) years.
• Individual must have strong knowledge of medical insurance billing and collections with CPT, ICD9, and HCPC coding and medical terminology, as well as an overall understanding of managed care products (HMO, PPO, etc.)
• Proficiency in Microsoft Office (Outlook, Excel, Word, and PowerPoint)

Expanding Access to Quality Care

At PT Solutions, we’re more than colleagues; we’re a tight-knit community united in our mission to expand access to quality care. Our commitment to you is evident in our industry-leading professional development opportunities. From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopaedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training.

As we aim to be the go-to rehabilitation provider, we seek committed professionals eager to join us in that mission. A career with PT Solutions is an opportunity to shape the industry and make a lasting impact. 

Let’s go further together and transform care. Join the #PTSLife today! 

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