Clinical Revenue Supervisor

Clinical Revenue Supervisor

The Clinical Revenue Supervisor plays a key role in supporting the revenue cycle team by performing physician revenue cycle billing, cash application, credit resolution, and reconciliation across professional and hospital billing lines of business. This position collaborates with University and UCM departments, patients, payers, and external vendors to ensure accurate claims processing, cash posting, and accounts receivable management. This position offers the opportunity to improve processes, implement enhancements, and contribute to a compliant, efficient, and collaborative revenue cycle environment. This role provides professional support and solves straightforward problems in projects related to revenue cycle operations, including activities related to charging, billing, and collecting. Coordinates the management of successful billing and compliance activities with department managerial and executive staff. The Clinical Revenue Supervisor requires a proactive approach to identifying and resolving unapplied payments, misapplied credits, and outstanding AR, as well as streamlining workflows to enhance efficiency. Additionally, the Clinical Revenue Supervisor will partner with internal teams, including the Hospital Billing Cash Application Team and Finance, to maintain accurate ledgers and reconcile accounts. Responsibilities also include developing reports, assisting with policy and procedure documentation, providing subject matter expertise on cash application and credit resolution, and supporting root cause analyses to reduce manual work and optimize revenue cycle operations.

Responsibilities :

• Oversees the application of cash, credit resolution, and cash reconciliation for all service areas and lines of business with minimal direct oversight.
• Works closely with UCM Hospital Billing (HB) Cash Application Team and Finance to ensure the accurate posting of cash and ledger reconciliation.
• Identifies unapplied cash across Professional Billing (PB) and Hospital Billing (HB).
• Proactively reviews current workflows for Cash Application and Credit Resolution with the intention to improve, implement, communicate, and maintain an efficient posting and refund process.
• Creates simple to moderately-complex reports that are necessary for cash / ledger reconciliation.
• Identifies and resolves the systematic and / or operational root causes of misapplied payments, credits, and outstanding AR.
• Oversees and manages credit and remittance work queues (WQ) and proposes both short- and long-term enhancements that support business needs.
• Communicates clearly and professionally with the other UCPG units, clinical departments, external vendors, and payers in effort to build partnerships that result in compliant billing, cash application, credit processes, and reconciliation.
• Provides cash application and credit resolution expertise to other UCPG and UCM business units as needed.
• Works with Hospital finance team on cash, credit, and reconciliation issues that cross between PB, HB, or SBO applications.
• Creates workflows and assists manager in developing and documenting policies and procedures.
• Provides support to UCPG and external entities for any payment posting and credit issues.
• Provides root cause analysis of credit transactions and implements tools and solutions to reduce credits and other manual cash and credit work.
• Provides direct support to AR resolution in effort to better identify trends and new issues.
• Assists the manager in monitoring trends and identifies opportunities to improve workflows.
• Has a moderate / solid understanding of coding procedures, workflow issues, billing infrastructure, and performance of Clinical Revenue staff. Informs department administrators, physicians, and Coder / Abstractors of regulatory changes.
• Participates and may lead in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations in promotion of compliance efforts.
• Performs other related work as needed.

Minimum Qualifications :

Education :

Minimum requirements include a college or university degree in related field.

Work Experience :

Minimum requirements include knowledge and skills developed through 2-5 years of work experience in a related job discipline.

Certifications :

Preferred Qualifications :

Education :

Experience :

Licenses and Certifications :

Technical Skills or Knowledge :

Preferred Competencies :

Working Conditions :

Application Documents :

When applying, the document(s) MUST be uploaded via the My Experience page, in the section titled Application Documents of the application.