Revenue Cycle Supervisor

Position Summary

The Revenue Cycle Supervisor is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Revenue Cycle Supervisor prepares weekly and monthly reports, reconciliation in a timely manner, and performing Revenue Cycle Reviews.

Additionally, s/he is responsible for the overall direction, coordination, and evaluation of the Revenue Cycle team.

Compassus

• Performs all episode realignments and payor changes to completion, collaborating with all necessary team members to ensure these are completed timely and billing is completed.
• Researches and resolves accounts and identifies gaps between current and former payor requirements and existing billing documentation. Ensures account bills correctly for open and future invoices.
• Gathers, analyzes, and reports documentation for verbal, written, and expedited member and provider complaints, grievances, and appeals.
• Prepares and reports documentation supporting verbal and written provider claims and pre‑authorization appeals.
• Provides appeals assistance for patients with denied medical treatment or services which includes advocating for patients in the appeals process. Answers customer calls about denied appeals, providing them with additional information when necessary. Efficiently manages patient complaints with respect of billing and collections.
• Ensures policies and best practices are up to industry standards and government regulations. Utilizes best practices for writing technical documents when creating SOPs and other documentation.
• Ensures on a daily, weekly, and monthly basis that key performance indicators are met or exceeded through system issue monitoring.
• Compiles and presents reports as needed on metrics and trends within their respective areas.
• Performs other duties as assigned.

• Bachelor's degree highly preferred.
• Minimum of five years of progressive, relevant experience and/or training required; preferably in home health, hospice, palliative, or infusion.
• Knowledge of Commercial, Third‑Party Insurance Accounts, including but not limited to Medicaid, Managed Care, HMO, PPO, Auto and Work Comp rules and guidelines governing collection activities preferred.
• Proven commitment to excelling in collections, dedication to company standards, and growth.

• Mathematical
  
  Skills:
  
  Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
• Language
  
  Skills:
  
  Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.
• Other
  
  Skills and Abilities:
  
  Ability to understand, read, write, and speak English. Articulates and embraces integrated healthcare at home philosophy. Strong analytical, organizational, and time management skills. Ability to learn quickly, build and maintain long‑term relationships, and work with minimal supervision.

• Lean Six Sigma certification; or knowledge and training in Continuous Process Improvement highly desired.

The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 25 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust…