Billing Supervisor - RCM

Recognized as a “Best Place to Work Modern Healthcare” – Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters.

Vital Care (  ) is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets.

We know infusion services, and we guide owners along the path of launch, growth, and successful business operations.

• Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts.
• Paid time off, personal days, and company-paid holidays.
• Paid Paternal Leave.
• Volunteerism Days off.
• Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
• 401(k) matching and tuition reimbursement.
• Employee assistance programs include mental health, financial and legal.
• Rewards programs offered by our medical carrier.
• Professional development and growth opportunities.
• Employee Referral Program.

Perform functions to plan for and manage the Specialist positions, involving initial intake, billing, and collections requirements. Will cultivate an environment of outstanding customer service as the company's voice in all interactions with franchise partners, payers, and patients.

• Supervise team in processing new patient referrals, insurance benefits investigation and verifications, prior authorizations, billing, and collections.
• Manage Reimbursement Specialist schedules to reallocate resources to meet KPIs. Track workload distribution and conduct ongoing needs assessments to identify staffing opportunities.
• Serve as an escalation agent for the team to resolve any franchise partner or patient complaints.
• Implement, communicate, and maintain operating procedures covering functional areas, quality, compliance, and related performance expectations.
• Monitor team results to evaluate compliance with quality and productivity expectations and identify improvement opportunities.
• Collaborate with Payor/Benefit support programs to resolve missing claims reports and handle member escalations.
• Implement customer service standards of excellence and ensure compliance. Cultivate an environment of customer service orientation through training and mentoring staff in customer service and collection techniques.
• May be responsible for reconciling reimbursement checks against claims with some programs.
• Monitor team activities and work with Reimbursement Specialist to provide guidance, training, and improved skills in patient insurance billing, collections, benefit investigation, and insurance authorizations. Balance workload and manage schedules to suit demand and service standards.
• Audit transactions processed by the team to ensure accounts are accurate and appropriately escalated in compliance with policies and procedures and identify training opportunities. Review claims acceptance and rejection reports and perform necessary activities to correct and resubmit rejections.
• Interview, select, train, and assign department associates. Provide direction and mentoring. Develop and communicate performance metrics to assess the team's effectiveness, both individually and as a department.
• Evaluate performance and provide counseling, cross-training, and coaching to associates.…