Supervisor, Revenue Cycle Management

Supervisor, RCM

AdaptHealth is a premier full-service home medical equipment company in the United States – offering a full-scope of cost-efficient HME and respiratory care products and services that aim to keep patients comfortable and thriving in their own homes. We are dedicated to pursuing better and use technology, process and the power of our national network to do so.  We have a relentless commitment to using innovation to transform the durable medical equipment industry, break the status quo and provide the best quality care. 

Position Summary:

The Supervisor of Revenue Cycle Management is responsible for overseeing the day-to-day activities of revenue cycle process of their team. Ensure a smooth operational flow of the department activities working in conjunction with a multitude of external sources, including but not limited to: Insurance Contract Managers, Insurance Agents, Referral Sources, Doctors/Physicians, and ultimately our patients. 

Essential Functions and Job Responsibilities:

• Oversee the day-to-day activities of the team regardless of location
• Prepare reports as needed for various departments and leadership
• Responsible for holding self and team members accountable for meeting performance expectations
• Assist in setting and maintaining department standards set forth by Manager
• Assure employees are reaching their potential goals
• Assist with responsibilities of one on one and general staff meeting
• Assist in training and remediation as needed
• Supports leadership in oversight of designated Revenue Cycle Management domestic and offshore staff as needed to ensure all RCM functions are worked within the established timeframes
• Ensures valid insurance information provided to our patients is accurate and complete. Works with staff to resolve discrepancies and improve accuracy ongoing
• Maintains a strong working knowledge of both upstream and downstream processes 
• Responsible for providing feedback and recommendations on improving systems and processes
• Improves processes within department emphasizing quality and efficiency, while identifying and removing bottlenecks   
• Anticipates and resolves problems demonstrating good judgment  
• Report audit metrics for employees to monitor accuracy and productivity rates 
• Take escalated phone calls that cannot be effectively resolved by team members
• Identify trends and root causes related to inaccurate insurance billing, and report to manager while resolving account errors
• Conduct team meetings to educate on insurance guidelines, claim denials, and re-training efforts on accounts incorrectly worked
• Investigate escalated insurance billing inquiries and inaccuracies and take appropriate action to resolve the account
• Keeps abreast of all reimbursement billing procedures of third party, private insurance, and government regulations to ensure compliance with current processes
• Develop and maintain working knowledge of current HME products and services offered by the company
• Work with leaders and contract price table management to assure that all accurate billing and payor information is added into the AdaptHealth system
• Ensure the team completes all month end processes prior to month end close  
• Develop and maintain working knowledge of current HME products and services offered by the company
• Maintain patient confidentiality and function within the guidelines of HIPAA
• Completes assigned compliance training and other educational programs as required
• Maintains compliant with AdaptHealth’s Compliance Program
• Perform other related duties as assigned 

Management/Supervision:

• Responsible for selection and hiring of qualified staff, ensuring an effective on-boarding, and providing comprehensive training and regular feedback
• Accomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards
• Establishes annual goals and objectives for the department based on the organization’s strategic goals
• Responsible for achieving organizational performance and retention goals, including timely completion of performance evaluations 

Competency, Skills and Abilities:

• Leadership Skills
• Strong ability to co-manage in a multi-site environment
• Independent Thinker and Decision Maker
• Strong analytical and problem-solving skills with attention to detail
• Excellent verbal and written communication
• Excellent customer service skills
• Proficient computer skills and knowledge of Microsoft Office specifically Excel
• Ability to prioritize and manage multiple projects
• Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction

Education and Experience Requirements:

• High School diploma required, Associate degree from an accredited college preferred
• Two (2) years relevant experience in health care administrative, financial, insurance customer services, claims, billing, home health and/or medical terminology training is required
• Exact job experience is considered as management of any of the above tasks in a Medicare certified HME or health care environment that routinely bills insurance.

Physical Demands and Work Environment:

• Work environment may be stressful at times, as overall office activities and work levels fluctuate
• Must be able to bend, stoop, stretch, stand, and sit for extended periods of time
• Subject to long periods of sitting and exposure to computer screen
• Ability to perform repetitive motions of wrists, hands, and/or fingers due to extensive computer use
• Must be able to lift 30 pounds as needed
• May be exposed to angry or irate customers or patients
• This position if primarily performed within an office building
• Excellent ability to effectively communicate both verbally and written with customers with the ability to demonstrate empathy, compassion, courtesy, and respect for privacy 

Benefits 

• Medical
• Dental
• Vision
• Paid Time Off
• 401k 

AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual’s race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law.  This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.