Revenue Cycle Management - Supervisor

Description

Job Summary

The Revenue Cycle Management Supervisor is responsible for overseeing day-to-day operations of the billing team, ensuring accuracy, efficiency, and compliance in all revenue cycle activities. This position plays a key role in training staff, resolving escalated billing issues, supporting payer transitions, and maintaining alignment with organizational goals. The ideal candidate will bring strong leadership, expertise in ophthalmology billing, and a collaborative approach to process improvement. 

Core Behavioral Values:

• CLEAR ID: Collaborate, Learn, Empathy, Accountable, Respect, Integrity, Dedication 
• These behaviors are based on Eyesight’s culture and values critical to support the organization’s mission of providing uncompromising care to patients.  

Requirements

Essential Functions

• Supervise billing staff including billers, coders, and prior authorization specialists across all offices. 
• Oversee workflow queues, task assignments, and ensure timely completion of claims, denials, refunds, prior authorizations, and audits. 
• Monitor and support daily posting, EOD processes, and reconciliation tasks. 
• Serve as an escalation point for complex billing issues, patient disputes, and insurance denials. 
• Ensure proper training of all billing staff and create/refine SOPs in collaboration with department leadership. 
• Assist with onboarding new billers and cross-training staff to ensure department flexibility. 
• Audit billing practices for accuracy and compliance with Medicare, Medicaid, and commercial payer policies. 
• Maintain and monitor ClickUp boards, flags, and communication protocols for team updates and accountability. 
• Act as liaison between billing, clinical, surgical posting, and administrative departments to ensure cohesive communication and efficient workflows. 
• Track department metrics (collections, turnaround time, denials, etc.) and present progress reports. 
• Stay current on billing regulations, payer requirements, coding changes, and disseminate updates to the team. 
• Support transitions related to new payers, procedures, injectables, and software systems (e.g. ModMed, PODIS). 
• Perform additional duties as needed to support the Director of RCM and organizational revenue goals. 

Qualifications

• Minimum 5 years of experience in medical billing 
• 2+ years in a supervisory or lead role required 
• Strong understanding of ophthalmology billing, coding (CPT/ICD-10), and payer rules (Medicare, Medicaid, commercial) 
• Experience with revenue cycle platforms and EHRs (ModMed preferred); ClickUp and PODIS experience a plus 
• Ability to lead, motivate, and hold a team accountable while fostering a collaborative, solutions-oriented environment 
• Strong analytical, problem-solving, and organizational skills 
• Excellent written and verbal communication skills  

Preferred

• Billing/Coding certifications (e.g., COA, OSC, CPC) strongly preferred 
• Experience navigating payer portals and submitting appeals, PAs, and audits 
• Working knowledge of retina-specific medications, co-management billing, and financial assistance workflows 

Work Conditions

• Professional healthcare setting, including clinics, administrative areas, and patient-facing environments 
• Noise level ranges from quiet to moderate, depending on location and activity 
• Potential exposure to infectious diseases, bodily fluids, or cleaning agents in accordance with standard protocols 

Physical Requirements

• Ability to sit, stand, and walk for extended periods 
• Frequent use of hands and fingers to operate medical or office equipment 
• Effective verbal and written communication; ability to hear and understand speech in person and by phone 
• Close vision required for reading small print and viewing computer screens 
• Occasional lifting or moving of objects up to 25 pounds 
• May involve reaching, bending, stooping, kneeling, or other physical movement 
• Ability to manage multiple priorities and maintain professional interactions in a dynamic setting