Revenue cycle management Jobs in Pompano Beach, FL

Revenue Cycle Supervisor

The Revenue Cycle Supervisor will oversee the day-to-day collection activities of assigned Revenue Cycle staff supporting Workers' Compensation, Personal Injury, and Pharmacy claims. This role is responsible for monitoring team productivity and quality, ensuring accounts are worked according to established priorities, supporting collectors with claim research and payer follow-up, and escalating complex or unresolved issues to the Revenue Cycle Manager.

The Revenue Cycle Supervisor will work closely with both onshore and offshore collection resources and will serve as a key point of support between frontline collectors and Revenue Cycle management.

Primary / Key Essential Functions and Responsibilities

Revenue Cycle Operations

• Supervise daily collection activities for assigned Workers' Compensation, Personal Injury, and Pharmacy accounts.
• Monitor collector work queues to ensure accounts are being worked according to established priorities and timelines.
• Ensure timely and appropriate follow-up on unpaid and underpaid claims.
• Assist collectors in prioritizing high-dollar and aged accounts according to established collection strategies.
• Review assigned high-dollar, aged, and priority accounts to ensure appropriate collection activity is occurring.
• Assist collectors with claim research, payer follow-up, corrected claims, resubmissions, reconsiderations, appeals, and documentation requirements.

Cash & AR Management

• Monitor assigned team performance against established daily, weekly, and monthly collection expectations.
• Review team collection activity and identify accounts requiring additional attention.
• Assist collectors with prioritizing accounts based on aging, balance, collectability, reimbursement opportunity, and payer requirements.
• Monitor accounts approaching timely filing, appeal, or other payer deadlines.
• Identify trends contributing to delayed or missed reimbursement and communicate findings to the Revenue Cycle Manager.

Payer & Claim Follow-Up

• Support collectors in resolving routine payer and claim issues.
• Assist with research of payer requirements, claim status, timely filing requirements, documentation requirements, fee schedules, and appeal processes.
• Monitor recurring denials, underpayments, no-response claims, and other payer issues.
• Escalate unresolved or recurring payer issues to the Revenue Cycle Manager.

Experience:

• 3+ years of healthcare revenue cycle, collections, reimbursement, or accounts receivable experience.
• 1+ years of supervisory, lead, or team leadership experience preferred.
• Experience with claim follow-up, denials, appeals, underpayments, and payer reimbursement.

Physical Requirements

The physical requirements listed are representative of those necessary to perform the essential functions of the position. Depending on the role, employees may be required to sit, stand, walk, reach, handle or operate equipment, and occasionally bend, stoop, kneel, crouch, crawl, or lift and/or move up to 25 pounds.

Reasonable accommodation will be provided to qualified individuals with disabilities, as required by applicable law, to enable them to perform the essential functions of the position. External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job functions either unaided or with assistance of a reasonable accommodation as determined on a case-by-case basis.

Standard Specifications

This job description describes the general nature and level of work and is not intended to be an exhaustive list of all duties, responsibilities, or requirements. Duties and responsibilities may change based on business needs. Employees may be assigned other job-related duties as needed.

This description does not create an employment contract, express or implied, or alter an at-will employment relationship, where applicable.

Equal Employment Opportunity

Advanced Rx Management LLC is an Equal Employment Opportunity (EEO) employer. We are committed to providing equal employment opportunities to all qualified applicants and employees without regard to legally protected characteristics under applicable federal, state, or local law. We provide reasonable accommodation to qualified individuals with disabilities and for other legally protected needs, as required by applicable law.