RCM Supervisor
Pinecrest
RCM Supervisor
Full Time • Pinecrest
Job Title: Revenue Cycle Management (RCM) Supervisor
Department: Revenue Cycle Management
Reports To: Manager of Revenue Cycle Services
Department: Revenue Cycle Management
Reports To: Manager of Revenue Cycle Services
Position Summary
The RCM Supervisor is responsible for overseeing daily revenue cycle operations for a portfolio of independent physician practices served by the company. This role supervises billing, collections, payment posting, denial management, and accounts receivable teams to ensure clients achieve optimal reimbursement, reduced A/R days, and high clean-claim rates. The RCM Supervisor serves as a key liaison between clients, payers, providers, and internal teams, ensuring service excellence and compliance with industry regulations.
Essential Duties and Responsibilities
Team Leadership
- Supervise and support a team of billing specialists, A/R representatives, payment posters, and denial management staff.
- Monitor productivity, quality, and performance against established KPIs.
- Conduct employee coaching, training, and performance evaluations.
- Assist with recruiting, onboarding, and staff development initiatives.
- Foster a culture of accountability, customer service, and continuous improvement.
Revenue Cycle Operations
- Oversee end-to-end revenue cycle processes for assigned physician practice clients.
- Ensure timely claim submission and resolution of claim edits and rejections.
- Monitor insurance follow-up activities and collection efforts.
- Review and manage aged accounts receivable and work queues.
- Ensure accurate payment posting, adjustments, and reconciliation activities.
- Oversee denial management and appeals processes to maximize reimbursement.
- Escalate payer issues and identify reimbursement trends affecting client revenue.
Client Relationship Management
- Serve as the primary operational contact for assigned client accounts.
- Participates in regular client meetings to review financial performance and operational metrics.
- Present reports on collections, A/R aging, denial trends, and revenue opportunities.
- Address client concerns and develop action plans to improve performance.
- Collaborate with providers and practice managers to resolve workflow and documentation issues impacting reimbursement.
Performance Management & Reporting
- Monitor and analyze key performance indicators, including:
- Days in Accounts Receivable (A/R)
- Net Collection Rate
- Gross Collection Rate
- First-Pass Resolution Rate
- Clean Claim Rate
- Denial Rate
- Aging Over 90 and 120 Days
- Charge Lag
- Payment Posting Turnaround Time
- Prepare and distribute operational and financial reports to management and clients.
- Identify revenue leakage and recommend corrective actions.
Compliance & Quality Assurance
- Ensure compliance with HIPAA, payer regulations, and billing guidelines.
- Monitor adherence to Medicare, Medicaid, and commercial payer requirements.
- Conduct quality audits of claims, payment posting, and collection activities.
- Maintain documentation and process standards required for client contracts and audits.
Process Improvement
- Identify workflow inefficiencies and implement best practices.
- Collaborate with coding, credentialing, and implementation teams to improve revenue cycle outcomes.
- Support system enhancements, software implementations, and automation initiatives.
- Develop standard operating procedures (SOPs) and training materials.
Qualifications
Education
- Associate's degree required; Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field preferred.
Experience
- Minimum 5 years of medical billing and revenue cycle management experience.
- Minimum 2 years of supervisory or team leadership experience.
- Experience managing multi-specialty physician practice accounts preferred.
- Experience working for a medical billing company, RCM vendor, or physician management organization strongly preferred.
Knowledge & Skills
- Comprehensive knowledge of physician billing and revenue cycle operations.
- Strong understanding of CPT, ICD-10, HCPCS, and payer reimbursement methodologies.
- Experience with Medicare, Medicaid, commercial insurance, and managed care plans.
- Proficiency with practice management systems and EHR platforms.
- Advanced Excel and reporting skills.
- Strong analytical, organizational, and client-facing communication abilities.
- Ability to manage multiple client accounts simultaneously.
Preferred Certifications
- Certified Revenue Cycle Representative (CRCR)
- Certified Professional Biller (CPB)
- Certified Professional Coder (CPC)
Key Success Metrics
- Achieve or exceed client collection goals.
- Maintain A/R days within target benchmarks.
- Improve first-pass claim acceptance rates.
- Reduce denial volumes and aged receivables.
- Meet client service level agreements (SLAs).
- Maintain high client satisfaction and retention rates.
- Achieve team productivity and quality standards.
ProMD Medical Billing has been providing expert medical billing services since 2004. Our medical billing company is composed of an array of revenue cycle management (RCM) professionals, including certified medical billers and coders with more than 20 years of professional medical billing service experience. Our goal is to provide fast and accurate claim processing without sacrificing service. We strive to be every bit as accessible and responsive as any in-house medical billing staff, but without the expenses and operational headaches.
Our expert medical billing services take on the burden of all insurance and patient billing, keep up to date with all reimbursement and policy changes, make sure you are paid promptly and correctly, and help you increase reimbursements. As a medical billing outsourcing company, we have helped our clients grow their business by providing them with the resources they need to succeed while maintaining a competitive edge in today’s industry.
ProMD Medical Billing offers medical billing services to physicians and medical practices across the U.S. Our staff is 100 percent based in the United States. We provide both small and large medical practices with a complete medical billing solution including charge capture, insurance claim submission, denial management, accounts receivable (A/R) follow up, insurance payment posting, patient statement billing, and key performance indicator (KPI) reporting. Our medical billing company will work in conjunction with your EMR system.
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