Supervisor, Rcms

Job Description:
Responsibilities:
Supervision and Leadership:
Lead and mentor a team of RCM Charges Associates.- Provide training on billing procedures, software systems, and compliance standards.- Conduct regular performance evaluations and provide feedback for professional development.- Foster a collaborative and supportive work environment to maximize team productivity.

Charge Capture and Entry:
Oversee the timely and accurate capture and entry of charges for medical services.- Ensure compliance with coding guidelines, payer requirements, and regulatory standards.- Review charge entry processes to identify areas for improvement and implement necessary changes.- Resolve complex coding issues and escalate discrepancies as needed.

Quality Assurance:
Conduct audits to verify the accuracy and completeness of charge entries.- Develop and maintain quality assurance procedures to minimize errors and ensure compliance.- Provide ongoing training and support to address identified deficiencies and improve performance.

Payer Communication:
Collaborate with payer representatives to address billing inquiries, disputes, and reimbursement issues.- Facilitate regular communication with payers to stay informed of changes in billing policies and procedures.- Negotiate payment terms and resolve disputes to maximize revenue recovery.

Reporting and Analysis:
- Generate and analyze reports to monitor key performance indicators, such as charge lag and denial rates.- Identify trends and patterns in charge data to inform decision-making and process improvement efforts.- Develop actionable insights and recommendations to optimize revenue cycle performance.

Process Improvement:
Continuously evaluate and streamline charge capture and entry processes to enhance efficiency and accuracy.- Implement best practices and innovative solutions to drive operational excellence.- Collaborate with cross-functional teams to identify opportunities for revenue enhancement and cost reduction.

Requirements:
Bachelor's degree in healthcare administration, business, or related field (preferred).- Minimum of 3-5 years of experience in medical billing, with a focus on charge capture and entry.- Proficiency in medical coding systems (e.g., CPT, ICD-10) and billing software.- Strong understanding of healthcare billing regulations, compliance standards, and payer policies.- Excellent leadership and interpersonal skills, with the ability to motivate and inspire a team.- Analytical mindset with the ability to interpret data and make data-driven decisions.- Effective communication and negotiation skills, with the ability to interact professionally with internal and external stakeholders.- Detail-oriented approach with a commitment to accuracy and quality assurance.- Proven track record of driving process improvements and achieving measurable results in revenue cycle management.- Certification in medical coding (e.g., CPC) or revenue cycle management (e.g., CRCR) is a plus.

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.