Revenue Cycle Supervisor

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Title: Revenue Cycle Supervisor

Reports To: Billing Manager

Supervises: NA

Status: Full-Time

Position Summary:

The Revenue Cycle Supervisor is responsible for the daily supervision and coordination of billing specialists who perform hands-on billing functions for assigned clients. This role ensures productivity, quality, and compliance standards are consistently achieved while supporting staff development, resolving escalated issues, and maintaining adherence to payer policies and CMS regulations.

The Revenue Cycle Supervisor also serves as a key point of contact for clients, responsible for monitoring performance metrics, addressing operational issues, and maintaining strong client relationships through regular communication and collaboration.

The Revenue Cycle Supervisor reflects the mission, vision, and values of ruralMED, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines, and regulatory and accreditation standards.

Qualifications:

Education and/or Experience:

• Minimum (5) five years of hands-on Critical Access Hospital and Rural Health Clinic billing experience required.
• Minimum of 1–2 years of supervisory or leadership experience preferred.
• High School Diploma or GED required; Associate’s or Bachelor’s degree preferred.

General Requirements/Job Duties:

General Requirements/Job Duties:

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The requirements listed below are representative of the knowledge, skill, and / or ability required:

• Supervises and coordinates daily activities of billing specialists to ensure timely and accurate claim submission, follow-up, and resolution for assigned clients.
• Provides direct oversight, coaching, and mentoring to billing specialists to support performance, accountability, and professional development.
• Conducts regular performance evaluations, productivity monitoring, and quality assurance reviews.
  Identifies performance gaps and implements corrective action plans as needed.
• Reviews and monitors client-specific KPIs (e.g., A/R days, denial rates, clean claim rates, cash collections) to ensure performance targets are met.
• Prepares and delivers regular client reporting and participates in client meetings to review performance, trends, and opportunities for improvement.
• Serves as primary escalation point for complex billing issues, payer denials, and client concerns.
• Tracks, manages, and follows through on client issues to ensure timely resolution and client satisfaction.
• Coordinates with client departments (e.g., registration, coding, clinical teams, finance) to resolve workflow, documentation, or system-related issues impacting revenue cycle performance.
• Ensures compliance with all payer requirements, including Medicare, Medicaid, commercial, and self-pay billing guidelines.
• Maintains current knowledge of CMS regulations, payer policies, and industry changes; communicates updates to staff and clients as appropriate.
• Reviews and analyzes revenue cycle data and reports to identify trends, root causes, and process improvement opportunities.
• Collaborates with leadership to develop and implement policies, procedures, and workflow enhancements.
• Assists with onboarding and training of new billing specialists and supports ongoing education initiatives.
• Participates in internal and external audits and ensures corrective actions are implemented based on findings.
• Supports system updates, upgrades, and workflow changes, including staff education and readiness.
• Maintains strong internal and external customer relationships and promotes a high level of client satisfaction.
• Promotes a positive, accountable, and team-oriented work environment.

Required Knowledge, Skills and Abilities:

• Strong knowledge of healthcare billing processes, including claims submission, follow-up, denial management, and cash posting.
• In-depth understanding of Medicare, Medicaid, commercial, and self-pay billing requirements.
• Knowledge of CMS guidelines, regulatory compliance, and payer-specific policies.
• Strong experience and expertise in Critical Access Hospital (CAH) and Rural Health Clinic (RHC) billing environments.
• Experience managing client relationships and presenting operational performance data.
• Demonstrated leadership and supervisory skills, including coaching and performance management.
• Strong analytical and problem-solving skills with the ability to interpret KPIs and drive performance improvement.
• Excellent communication skills (written, verbal, and interpersonal), including client-facing communication.
• Proficiency in EHR software and clearinghouses (e.g., Epic, Meditech, Cerner, CPSI, SSI, etc.).
• Advanced computer skills (Word, Excel, reporting tools).
• Ability to manage multiple priorities across staff and client needs in a fast-paced environment.
• Strong organizational, time management, and critical thinking skills.

Security/Access:

Remote work is expected 100% of the time unless otherwise agreed upon.

Will have access to confidential information abiding by the organizations privacy policies and regulations concerning this information.

Equipment Used:

• General office equipment to include: fax, copier, computer, printer, etc.
• Telephone

Patient Age Groups Served:

None.

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