Revenue Cycle Supervisor

Job Code: 29-2072                                                                 Salary: $15.63 - $31.68

Status: Full-time, Non-exempt, Permanent                               Location: Health Services

Department: HS - Business Office                                          Reports To: Business Office Manager

Telecommute: None                                                               Fleet: None

SUMMARY: Under the direction of the Business Office Manager, the Revenue Cycle Supervisor shall provide supervision and oversight for patient registration, third-party billing, and accounts receivable. Supervise all processes required to facilitate efficient and effective revenue cycle operation of the department.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Plans, directs, supervises, and coordinates work activities of staff and distributes workload.
• Management of employee time cards and requests for leave in ADP.
• Annual Evaluations for Patient Registration and Billing Staff.
• Management of bills/paper checks/electronic remittances entered into the Resource Patient Management System (RPMS) Third Party Billing and Accounts Receivable application(s), Change Healthcare system, and Dentrix system according to Business Office policies and procedures. Management of NYS Managed Care Supplemental Payment Program (WRAP) billing, re-billing, denial management, beneficiary adjustments, and all other adjustments according to Business Office policies and procedures.
• Management of aged/open claims and follow-up with responsible parties according to third-party billing guidelines.
• Management of the Resource Patient Management System (RPMS), Practice Management, and Moonwalk Client application(s), Resolve system, and Script Pro pharmacy software according to Business Office policies and procedures. Management of patient registration, eligibility for services, and alternate resource(s) according to Business Office policies and procedures.
• Oversees patient communication with staff and patient correspondence.
• Updates to the RPMS database for new payers, new provider ID numbers, and Annual Laboratory Fee allowable rates.
• Coordinate with the Finance Department for monthly posting and resolve any open payments on the Missing EFT Report.
• Communicates issues/concerns to the Business Office Manager.
• Participates in departmental staff meetings, program planning, evaluations, and improvement strategies to minimize problems and optimize operational efficiency.
• Understanding and adherence to HIPAA compliance with regard to departmental practices.
• Audit patient registration/third party billing/accounts receivable for timeliness, completeness, consistency, and compliance with regulatory requirements and Business Office policies and procedures.
• Prepare and present audit report(s) for the  Compliance Committee/QA Committee.
• Develop and prepare a training handbook for new staff.
• Prepare and submit daily/monthly reports to the Business Office Manager.
• Attends meetings/trainings as requested by the Business Office Manager.
• Assists in the development and modification of departmental policies and procedures.
• Trains new/inexperienced staff in the business office.
• Other related duties as assigned (including Patient Registration, Third Party Billing, and Accounts Receivable).

SUPERVISORY RESPONSIBILITIES: Serve as Supervisor of the patient registration, third party billing, and accounts receivable. Responsibilities include coordinating and distributing the workload. Reviewing the daily workload and progress of the office. Display initiative in promoting suggestions to improve the overall operations. Knowledge of third-party insurance billing (including Medicare, Medicaid, and private insurance), denial management, as well as CPT/HCPCS/ICD-IO codes.

QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Due to the sensitive nature of information and personnel files maintained within the Business Office, employees must maintain strict confidentiality at all times.

EDUCATION and/or EXPERIENCE: 

• High School diploma or equivalent, AND.
  • Five years of medical office and/or billing experience 

OTHER SKILLS and ABILITIES: Strong oral and written communication skills required. Must have excellent computer skills, including Word and Excel.

REASONING ABILITY: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

The Saint Regis Mohawk Tribe strives to be an equal opportunity employer dedicated to the policy of nondiscrimination based on race, sex, marital status, sexual orientation, religion, national origin, age, physical disability, veteran status, or any other non-job-related factor.

The successful candidate must complete a PPD test.

The successful candidate must pass a test for illegal substances prior to employment being confirmed.

The successful candidate must pass a criminal background check prior to employment.