Posted 2d ago

RCM Director

@ Maeville Pediatrics
Pearland, Texas, United States
$60k/yrOnsiteFull Time
Responsibilities:Supervise billing, Review submissions, Monitor aging
Requirements Summary:Proven experience in medical billing, revenue cycle management, or a related role within a healthcare setting; strong leadership; knowledge of CPT/ICD-10, billing software, EHR, payer requirements; HIPAA compliant; able to train and improve processes.
Technical Tools Mentioned:Medical Billing Software, CPT, ICD-10, EHR, Payer requirements
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Job Description
Pay: From $60,000.00 per year

Job description:

Job Overview
We are seeking a highly organized and experienced RCM Medical Billing Supervisor to lead our billing team. The ideal candidate will oversee the end-to-end revenue cycle management process, ensure accurate and timely billing, and optimize collections. This role requires strong leadership skills, in-depth knowledge of medical billing procedures, and the ability to collaborate effectively with healthcare providers and insurance companies. The RCM Medical Billing Supervisor plays a critical role in maintaining the financial health of our organization by ensuring compliance and maximizing revenue.

Duties

  • Supervise daily operations of the medical billing team, providing guidance and support to ensure accuracy and efficiency.
  • Review and approve billing submissions, claims, and adjustments to ensure compliance with industry standards and payer requirements.
  • Monitor accounts receivable aging reports and implement strategies to reduce denials and accelerate collections.
  • Train, mentor, and evaluate billing staff to promote professional development and maintain high performance standards.
  • Collaborate with healthcare providers to resolve billing discrepancies and patient account issues.
  • Ensure adherence to HIPAA regulations, payer policies, and organizational policies throughout the billing process.
  • Generate reports on billing performance metrics, identify trends, and develop action plans for continuous improvement.
  • Stay updated on changes in healthcare regulations, coding guidelines, and insurance policies affecting revenue cycle management.
Requirements

  • Proven experience in medical billing, revenue cycle management, or a related role within a healthcare setting.
  • Strong leadership skills with the ability to manage a team effectively.
  • In-depth knowledge of medical coding (CPT, ICD-10), billing software, electronic health records (EHR), and payer requirements.
  • Excellent analytical skills with attention to detail for reviewing claims and resolving discrepancies.
  • Ability to communicate clearly with team members, healthcare providers, insurance representatives, and patients.
  • Familiarity with HIPAA compliance standards and healthcare regulations.
  • Prior experience with training staff and implementing process improvements is preferred.
  • A proactive problem-solver with strong organizational skills to manage multiple priorities efficiently. This position offers an opportunity to lead a dynamic team within a supportive environment dedicated to excellence in healthcare revenue management.
Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off
  • Retirement plan
  • Vision insurance
Work Location: In person