Revenue Integrity Supervisor

The Revenue Integrity Supervisor is responsible for leading and overseeing revenue cycle processes, ensuring billing accuracy, compliance, and efficiency. This position serves as a key liaison between the organization and external partners, while driving performance metrics and implementing process improvements that align with company goals. The role includes leadership, communication, and training responsibilities to optimize both operational performance and employee engagement.

Why Join Us?

At Prism Health Care Services, you will be part of a dynamic and growing organization that has become a leader in the Durable Medical Equipment (DME) industry. Our leadership team has been together for over a decade, with minimal turnover, demonstrating our commitment to stability, trust, and a supportive work environment. As part of the largest skilled nursing facility network in Chicago, we provide unparalleled opportunities to collaborate with industry leaders and make a real impact in patient care.

If you are looking to join a team that values collaboration, innovation, and long-term career development, Prism is the place for you!

Requirements:

1. Experience: Minimum 1 year of leadership or management experience in the Durable Medical Equipment (DME) industry, with 2 years in billing or revenue cycle oversight.

2. Industry Knowledge: Durable Medical Equipment billing processes.

3. Education: Bachelor's degree preferred, but equivalent work experience is acceptable.

4. Technical Skills: Brightree EMR, Parachute, CarePort, SNAP PAP Resupply, Proficient in Microsoft Excel, and data analytics, with strong ability to navigate and adapt to various software platforms.

5. Leadership & Collaboration: Proven ability to manage teams, foster positive relationships, and drive results through process improvement.

6. Regulatory Compliance: Strong knowledge of federal and state billing regulations, ensuring adherence to all applicable standards.

7. Communication & Organization: Excellent written, verbal, and organizational skills, with the ability to present data and work independently.

8. Training & Mentorship: Ability to coach and train staff across varying experience levels.

9. Professionalism: Always maintain a professional appearance and positive company image.

Responsibilities:

1. Leadership & Liaison: Provide management oversight for the sub-contracted billing relationship with Acu-Serve, conducting monthly audits to ensure compliance with regulatory and company standards.
2. Performance Management: Ensure daily and monthly performance targets are achieved, including but not limited to, confirmation of orders, prescription and prior authorization renewals, cash posting, and revenue processing timelines, reports, and dashboards to track task completion by month-end.
3. Process Improvement: Establish and monitor billing processes to meet departmental goals, focusing on key performance metrics like days sales outstanding (DSO), cash posting, and revenue documentation and integrity resolution.
4. Revenue Cycle Integrity: Proactively manage all aspects of the revenue cycle, including outstanding credit balances, private pay patient portals, and electronic invoicing, to accelerate collections and maintain financial accuracy.
5. Compliance & Regulation: Maintain up-to-date knowledge of Medicare, state-specific public aid policies, and insurance industry standards, ensuring strict adherence to all mandated documentation and HIPAA regulations.
6. Cross-Department Collaboration: Foster seamless communication with other department managers and teams to enhance customer, employee, and referral source satisfaction, resolving complex account issues and ensuring timely reimbursement.
7. Team Leadership & Development: Lead the billing department team by providing ongoing training, performance evaluations, and clear communication of department goals. This includes hiring, performance management, and implementing learning plans for staff development.
8. Operational Efficiency: Maintain continuous surveillance of billing and collection functions to ensure unimpeded cash flow and resolve any obstacles that impact revenue.
9. Training & Development: Coordinate and deliver new employee onboarding and continuous training for existing staff on evolving medical policies, software updates, and workflow processes.
10. Managerial Duties: Participate in the manager on-call rotation, providing oversight on billing department activities and resolving escalated issues logged in daily reports.
11. Other Responsibilities: Perform additional duties as assigned to support the overall financial health and operational efficiency of the organization.