Supervisor, RCMS

Job details

Job Description:

Key Responsibilities

Operations Management

Supervise the day-to-day activities of the Charges team to ensure productivity, accuracy, and turnaround time (TAT) goals are achieved.
Monitor charge entry, claim generation, and work queues to ensure timely claim submission.
Review operational metrics and implement action plans to improve performance.
Ensure compliance with payer guidelines, client requirements, and organizational SOPs.
Conduct regular quality audits and identify process improvement opportunities.
Prepare and present daily, weekly, and monthly operational reports.

Customer Interaction & Relationship Management

Act as the primary operational point of contact for assigned clients.
Conduct regular client meetings to review operational performance, discuss concerns, and provide updates.
Build and maintain strong customer relationships through proactive communication.
Resolve client escalations by coordinating with internal stakeholders and providing timely resolutions.
Identify opportunities to improve client satisfaction and operational efficiency.

Customer Onboarding

Lead the operational onboarding of new customers and practices.
Coordinate with Configuration, Credentialing, IT, Eligibility, Claims, AR, and other internal teams to ensure a smooth transition.
Develop and maintain onboarding plans, implementation timelines, and go-live checklists.
Validate workflows, billing guidelines, payer configurations, and documentation before production go-live.
Conduct onboarding calls, process walkthroughs, and user training sessions where required.
Ensure all onboarding milestones are completed within agreed timelines.

Team Leadership

Lead, mentor, and coach team members to achieve individual and team objectives.
Conduct regular performance reviews, feedback sessions, and skill development activities.
Assist in recruitment, onboarding, and training of new team members.
Promote a culture of accountability, collaboration, and continuous improvement.

Process Improvement

Identify operational gaps and recommend automation or process enhancements.
Collaborate with Quality, MIS, and technical teams to improve workflows.
Drive initiatives to reduce rework, improve first-pass acceptance rates, and enhance operational efficiency.
Participate in client implementation and process transformation projects.

Required Qualifications

Bachelor's degree in Healthcare Administration, Business Administration, Life Sciences, or a related field.
5–8 years of experience in Medical Billing/Revenue Cycle Management.
Minimum 2 years of supervisory or team lead experience in a Charges or Billing function.
Experience in customer onboarding and client relationship management.
Strong understanding of charge entry, claim creation, payer requirements, and healthcare billing workflows.
Experience working with behavioral health or ambulatory care practices is preferred.

Required Skills

Preferred Experience

Experience with customer onboarding and implementation projects.
Exposure to workflow documentation, SOP creation, and process mapping.
Experience working with behavioral health EHRs such as CareLogic, Credible, InSync, or similar platforms is preferred.
Knowledge of claim edits, payer-specific billing requirements, and denial prevention strategies.

Key Performance Indicators (KPIs)

Core Competencies

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.