Role Description The Supervisor, Payer Collections is responsible for overseeing the daily operations of the revenue cycle team within the specialty pharmacy and home infusion specialty. This role ensures the accuracy, efficiency, and compliance of all collections and accounts receivable activities. The Supervisor, Payer Collections will lead a team focused on optimizing revenue and cash flow while maintaining the highest levels of patient satisfaction and compliance with industry regulations. Shift: Monday-Friday 8:00am-4:30pm Responsibilities - Team Leadership & Development: - Supervises and mentors the RCM collections staff and patient account representatives. - Conducts regular performance evaluations, provides constructive feedback, and implements development plans to enhance team skills and productivity. - Coordinates and leads team meetings to ensure alignment with company goals and objectives. - Develops and implements training programs to keep the team updated on the latest industry standards and regulatory changes. - Revenue Cycle Operations: - Oversees the entire collections process from billing to collections, and coordinates with payment posting. - Ensures timely and accurate collection efforts involving various payer types (Medicare, Medicaid, Commercial, and Private Pay). - Monitors and manages accounts receivable to minimize bad debt. - Reviews key performance indicators (KPIs) and generates reports to identify trends, areas for improvement, and opportunities for revenue enhancement. - Develops and implements strategies to optimize revenue cycle performance and cash flow, including process improvements and automation initiatives. - Monitors workload of staff; makes recommendations to management of staffing needs prior to workload becoming unmanageable and performance suffering. - Compliance & Quality Assurance: - Ensures that all billing and collections activities comply with federal, state, and payer-specific regulations. - Collaborates with the compliance team to stay informed about changes in healthcare laws and payer requirements. - Performs regular audits of collections processes to ensure accuracy and compliance. - Addresses and resolves any issues related to claims denials, underpayments, or patient disputes. - Cross-Functional Collaboration: - Works closely with clinical, finance, and IT teams to ensure seamless integration of revenue cycle processes with patient care and financial reporting. - Collaborates with the authorization and intake teams to ensure accurate and timely submission of required documentation. - Partners with the cash team to reconcile accounts receivable and ensure accurate financial reporting. - HR & Administrative Tasks: - Manages HR related tasks including timecard approvals, monitoring attendance, and managing leave requests. - Ensures timely and accurate submission of employee timecards in accordance with company policies. - Assists with onboarding new team members, ensuring they receive the necessary training and resources. - Oversees the distribution of equipment to remote and on-site team members, including coordinating shipments and maintaining inventory of company-provided equipment. - Facilitates regular communication with HR to address team-related issues and ensure compliance with policies and procedures. - Patient Experience: - Oversees patient billing inquiries and ensures a high level of customer service. - Implements strategies to improve patient satisfaction related to billing and payment processes. - Ensures that patient communications are clear, accurate, and comply with industry standards. Qualifications - Bachelor’s degree in healthcare administration, business administration, or a related field strongly preferred but not required. - Minimum of 5 years of experience in revenue cycle management, preferably within a specialty pharmacy or home infusion setting. - At least 2 years of supervisory or management experience in a similar role. - Strong knowledge of healthcare billing, coding, and reimbursement processes, including experience with Medicare, Medicaid, and commercial payers. - Proficient in revenue cycle management software and Microsoft Office Suite. - Excellent leadership, communication, and problem-solving skills. - Ability to analyze complex data, identify trends, and implement effective solutions. - Strong attention to detail and commitment to accuracy and compliance. Requirements - Occasional weekend, evening or night work if needed to ensure shift coverage. - On-call as needed basis. - While performing this position the employee will be required to frequently sit, stand, and walk. - There will be occasional reaching required as well as the ability to type on a keyboard with their fingers for extended periods. - The ability to push/pull and lift/carry between 11-20 lbs will be required. Benefits - Salary Range: USD $57,000.00 - $85,600.00 / Year