RCM Supervisor, Accounts Receivable

Help at Home is the leading national provider of in-home personal care services, where our mission is to enable individuals to live with independence and dignity at home. Our team supports 66,000 clients monthly with the help of 49,000 compassionate caregivers across 12 states. We’re focused on serving people and the communities we are part of.

Job Summary:

The Accounts Receivable (AR) Supervisor has overall responsibility for the Revenue Cycle Management AR Team. This role directs the activities of an assigned team, resolves moderately complex problems and is accountable for the accuracy and timeliness of data generated by this function. Primary responsibilities include managing and directly overseeing invoicing, exporting, claim rejections & denial management for all branch locations in IL and MO. The AR Supervisor reports to the Revenue Cycle Manager.

As a People Leader:

• You lead with empathy, vulnerability, and honesty.
• Must have a love of learning.
• Endless curiosity and an enthusiasm for continuous improvement
• Team-first mindset
• Empower and inspire full time associates through coaching.
• Hold others to high standard.
• Knows how and when to celebrate success.

Supervisory Responsibilities:

•  Participate in the hiring and training of staff.
•  Supervise assigned personnel, mentoring and coaching to achieve highest level of competency of staff.
•  Conduct performance evaluations that are timely and constructive.
•  Handle discipline and termination of employees as needed and in accordance with company policy.

Essential Duties/Responsibilities:

• Direct team of AR Representatives.
• Ensure that client billing data is accurately entered into the system, including payor information and service charges prior to invoicing/exporting claims.
• Submit claims to payors in accordance with payor requirements and agency policy.
• Supervise claim rejection and denial process by maintaining complete and accurate accounts receivable records to ensure claims are submitted and paid in full.
• Review SFTP file logs to ensure all file transmissions are successful, resolve any unsuccessful transfers with the appropriate parties.
• Analyze daily remittance reports from the state/managed care organizations and reconciling the approved payments. Must be able to: identify missing or pending invoices or remittances.
•  Create an aging report for follow up with the state/managed care organizations.
•  Maintain accurate billing analysis reports and communicating implications promptly to the appropriate parties.
• Review all write off, refund and takeback requests.
• Communicate with the state and managed care organizations for resolution of issues and submission of exception requests, disputes and appeals.
•  Make decisions and solving problems - analyzing information and evaluating results to choose the best solution.
• Conduct staff meetings at regular intervals for informative and educational purposes.
• Perform other related duties as assigned.

Required Skills and Abilities:

• Self-motivated; reliable; strong attention to details
• Strong communication skills, oral and written.
• Excellent interpersonal skills; Demonstrates excellent communication and customer service skills under duress and in a fast pace; ability to function as a positive team member.
•  Intermediate to advanced skills with Microsoft Office Suite, especially Excel.

Education and Experience:

• Bachelor's degree in accounting, finance, economics or a related field.
• Three (3)+ years’ experience of revenue cycle management or billing experience in the healthcare field. Knowledge of IL Medicaid/Managed Care Organization (MCO) billing practices.
• Experience with billing in an Electronic Data Interchange/3rd party clearinghouse environment
•  Knowledge of Data Flex, HHAeXchange, MCO portals and Waystar (Zirmed) is preferred.

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