Revenue Cycle Mangement Supervisor at Elevation Autism Center. The Revenue Cycle Management (RCM) Supervisor is responsible for ensuring that all insurance and patient billing is processed correctly for all locations, and all clinician and location credentialing is submitted and maintained. Additionally, they provide training, track department progress, identify process and training gaps, and support the team in benefit verifications and authorization submissions. They delegate duties as necessary and work closely with the Director of RCM & Systems to create and monitor department goals.. Who We Are & Why Elevation. At Elevation Autism Center, we are more than a locally owned provider of ABA and Speech therapy; we are a values-driven community committed to empowering children and families through compassionate, evidence-based care. We believe in supporting our team as much as we support our clients. If you have a passion for leading teams and fostering development in a supportive environment, Elevation Autism Center is the perfect place for you! . . Individual Responsibilities:. Ensure accurate client onboarding and maintenance of insurance documents and verification of benefits. Maintain authorizations and claims information in CABS electronic billing system for assigned clients and payors. Accurately update client benefits in practice management systems . Process claims and ensure timely filing for all primary and secondary payors. Ensure AR for assigned locations does not exceed 5% for over 30 days. Research denied claims before adjusting balances. Provide support and collaborate with team on processing corrected, voided, and manual claims. Process patient billing and payments according to timelines. Ensure payments are applied to client accounts according to accounting processes. Obtain and maintain individual clinician certifications and credentials as per payor and state requirements. Coordinate contracting for all new Elevation Autism Center locations as per payor and state requirements. Gather and submit requested records for payor audits. Follow HIPAA, state, and local laws when handling client information . RCM Supervision:. Understand and communicate patient benefits to stakeholders, as needed. Supervise semi-monthly eligibility audits. Oversee team in requesting authorizations for services from primary and secondary insurers. Work with Clinical and Operations to ensure new and ongoing clients have accurate and timely documentation and submission of requests, to avoid lapses in services. Participate in appeals process, as needed. Obtain single case agreements, as needed. Run AR report for 30+ days for all team members weekly and ensure that claims listed match claims in task management systems; communicate with team on claims that are missing. Communicate with team and Leadership on issues that are preventing timely and accurate billing. Review and resolve issues related to claim generations, clean claim ratios, rejected claims, and denied billing. Monitor and report on department goals such as AR by location, claim errors, and other goals as created by Leadership. Elevate issues with payors and report improvement plans, as appropriate. Provide support to team on basic records requests (e.g., Katie Beckett waivers). Department Leadership:. Ensure development of team by conducting training for new and existing staff and complete regular reviews. Work collaboratively with the team to identify challenges and inefficiencies and present possible solutions. Support in the creation and updating of billing department processes and procedures . Train new hires on assigned tasks. Serve as the internal “expert” for Elevation payors, by regularly researching changes to policies, providing support, training and resources to other team members, as needed . Research current insurance laws, processes pertaining to ABA, Speech, and Elevation Autism Center services, etc.. Other duties related to client billing and RCM, as assigned (e.g. special projects, payor fee negotiations, etc.). NOTE:. This job description is not intended to detail all aspects of this position but rather to summarize it for you and may be updated at any time.. 3-5 years of healthcare revenue cycle or medical billing experience. 2+ years of supervisory or team lead experience. Direct ABA industry experience is a plus . Strong knowledge of insurance billing, authorizations, denials, and AR management. Experience with credentialing and payor processes. Familiarity with EHR/billing systems and healthcare compliance (HIPAA). Strong organizational, analytical, and communication skills. Ability to work effectively with cross-functional teams in a remote environment. Company Location: United States.
Revenue Cycle Mangement Supervisor at Elevation Autism Center